Review of Direct Anatomical Open Surgical Management of Atherosclerotic Aorto-Iliac Occlusive Disease

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@article{d59bf7397e084376b14b7d30b5b3f118,
title = "Review of Direct Anatomical Open Surgical Management of Atherosclerotic Aorto-Iliac Occlusive Disease",
abstract = "Background: Aortofemoral bypass(AFB), iliofemoral bypass(IFB), and aortoiliac endarterectomy(AIE) are the three most common techniques for anatomical open surgical revascularisation for patients with aorta-iliac occlusive disease(AIOD), but the optimal method of reconstruction is unknown. Aims: To review and compare mortality, morbidity and short- and long-term patency rates for AFB, IFB and AIE in patients with AIOD reported in the English language literature Methods: A MEDLINE(1970-2007) and Cochrane Library search for articles relating to AFB, IFB, AIE and AIOD was undertaken. Studies were included if: a) patency rates based on life-tables were available, and b) patient/study characteristics were reported. Results: 29 studies(5738 patients) for AFB, 11 studies(778 patients) for IFB and 11 studies(1490 patients) for AIE were included. Operative mortality was 4.1% for AFB, 2.7% for IFB and 2.7% for AIE (p <0.0001). Systemic morbidity was 16.0% for AFB, 18.9% for IFB and 12.5% for AIE (p <0.05). Overall 5-year primary patency rates were 86.3%, 85.3% and 88.3% for AFB, IFB and AIE, respectively (p = NS). Conclusion: Aorta-iliac endarterectomy was associated with significantly lower pen-operative morbidity and mortality rates compared with bypass grafting. All three techniques were equally effective in terms of long-term patency. (C) 2010 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved.",
keywords = "Anatomical open surgical management, Atherosclerotic aortoiliac occlusive disease",
author = "KWH Chiu and RSM Davies and Peter Nightingale and Andrew Bradbury and Donald Adam",
year = "2010",
month = apr,
day = "1",
doi = "10.1016/j.ejvs.2009.12.014",
language = "English",
volume = "39",
pages = "460--471",
journal = "European Journal of Vascular and Endovascular Surgery",
issn = "1078-5884",
publisher = "Elsevier",
number = "4",

}

RIS

TY - JOUR

T1 - Review of Direct Anatomical Open Surgical Management of Atherosclerotic Aorto-Iliac Occlusive Disease

AU - Chiu, KWH

AU - Davies, RSM

AU - Nightingale, Peter

AU - Bradbury, Andrew

AU - Adam, Donald

PY - 2010/4/1

Y1 - 2010/4/1

N2 - Background: Aortofemoral bypass(AFB), iliofemoral bypass(IFB), and aortoiliac endarterectomy(AIE) are the three most common techniques for anatomical open surgical revascularisation for patients with aorta-iliac occlusive disease(AIOD), but the optimal method of reconstruction is unknown. Aims: To review and compare mortality, morbidity and short- and long-term patency rates for AFB, IFB and AIE in patients with AIOD reported in the English language literature Methods: A MEDLINE(1970-2007) and Cochrane Library search for articles relating to AFB, IFB, AIE and AIOD was undertaken. Studies were included if: a) patency rates based on life-tables were available, and b) patient/study characteristics were reported. Results: 29 studies(5738 patients) for AFB, 11 studies(778 patients) for IFB and 11 studies(1490 patients) for AIE were included. Operative mortality was 4.1% for AFB, 2.7% for IFB and 2.7% for AIE (p <0.0001). Systemic morbidity was 16.0% for AFB, 18.9% for IFB and 12.5% for AIE (p <0.05). Overall 5-year primary patency rates were 86.3%, 85.3% and 88.3% for AFB, IFB and AIE, respectively (p = NS). Conclusion: Aorta-iliac endarterectomy was associated with significantly lower pen-operative morbidity and mortality rates compared with bypass grafting. All three techniques were equally effective in terms of long-term patency. (C) 2010 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved.

AB - Background: Aortofemoral bypass(AFB), iliofemoral bypass(IFB), and aortoiliac endarterectomy(AIE) are the three most common techniques for anatomical open surgical revascularisation for patients with aorta-iliac occlusive disease(AIOD), but the optimal method of reconstruction is unknown. Aims: To review and compare mortality, morbidity and short- and long-term patency rates for AFB, IFB and AIE in patients with AIOD reported in the English language literature Methods: A MEDLINE(1970-2007) and Cochrane Library search for articles relating to AFB, IFB, AIE and AIOD was undertaken. Studies were included if: a) patency rates based on life-tables were available, and b) patient/study characteristics were reported. Results: 29 studies(5738 patients) for AFB, 11 studies(778 patients) for IFB and 11 studies(1490 patients) for AIE were included. Operative mortality was 4.1% for AFB, 2.7% for IFB and 2.7% for AIE (p <0.0001). Systemic morbidity was 16.0% for AFB, 18.9% for IFB and 12.5% for AIE (p <0.05). Overall 5-year primary patency rates were 86.3%, 85.3% and 88.3% for AFB, IFB and AIE, respectively (p = NS). Conclusion: Aorta-iliac endarterectomy was associated with significantly lower pen-operative morbidity and mortality rates compared with bypass grafting. All three techniques were equally effective in terms of long-term patency. (C) 2010 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved.

KW - Anatomical open surgical management

KW - Atherosclerotic aortoiliac occlusive disease

U2 - 10.1016/j.ejvs.2009.12.014

DO - 10.1016/j.ejvs.2009.12.014

M3 - Review article

C2 - 20303805

VL - 39

SP - 460

EP - 471

JO - European Journal of Vascular and Endovascular Surgery

JF - European Journal of Vascular and Endovascular Surgery

SN - 1078-5884

IS - 4

ER -