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Fate of the iliac arteries after repair of abdominal aortic aneurysm with an aortobifemoral bypass graft

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Annals of Vascular Surgery

Abstract

The objective of this study is to determine the fate of the iliac arteries after repair of abdominal aortic aneurysm with an aortobifemoral bypass graft. It is a prospective natural history study at a university-affiliated urban teaching hospital. Thirty-two patients with retrograde flow to the iliac circulation after repair of an abdominal aortic aneurysm by aortobifemoral bypass grafting were studied. All patients were followed prospectively with repeat CAT scans, clinical assessment, and selective angiography to determine the fate of the iliac circulation. We were particularly interested in subsequent vessel thrombosis or aneurysmal dilation. Patient survival was analyzed with a Kaplan-Meier life-table and survival curve. Graft patency was analyzed using life-table analysis. Primary outcomes included iliac artery size, graft patency, and patient survival. The iliac arteries remained constant in size or thrombosed in all study patients. Iliac expansion did not occur in any of the study patients. Secondary graft patency was 100%. The cumulative survival rate at 47 months was 0.55 (0.37–0.74,95% confidence interval). Retrograde perfusion of diseased iliac arteries after aortobifemoral bypass for repair of abdominal aortic aneurysm is safe. Iliac artery atherosclerotic, ectatic or small aneurysmal disease (≤3 cm) does not appear to be a contraindication to retrograde iliac artery perfusion.

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References

  1. Dubost C, Allary M, Oeconomos N. Resection of an aneurysm of the abdominal aorta; Reestablishment of continuity by preserved human arterial graft, with result after 5 months. Arch Surg 1952;64:405–408.

    CAS  Google Scholar 

  2. Dabeoc ME, Cooley DA. Surgical treatment of aneurysm of abdominal aorta by resection and restoration of continuity with homograft. Surg Gynecol Obstet 1953;97:257–266.

    Google Scholar 

  3. Ernst CB. Abdominal aortic aneurysms. N Engl J Med 1993;328:1167–1172.

    Article  PubMed  CAS  Google Scholar 

  4. Lavee J, Schneiderman J, Bass A, Amsterdam E, et al. Tube graft replacement of abdominal aortic aneurysm. Is concomitant iliac disease a contraindication? J Cardiovasc Surg 1988;29:449–452.

    CAS  Google Scholar 

  5. Provan JL, Fialkov J, Ameli FM, St. Louis EL. Is tube repair of aortic aneurysm followed by aneurysmal change in the common iliac arteries? Can J Surg 1990;33:394–397.

    PubMed  CAS  Google Scholar 

  6. Schroeder, Flanagan TL, Kron EL, Tribble CG. A safe approach to the treatment of iliac artery aneurysms. Am Surgeon 1991;57:624–626.

    PubMed  CAS  Google Scholar 

  7. Rutherford RB, Flanigan DP, Gupta SK, et al. Suggested standards for lower extremity ischemia. J Vasc Surg 1986;4:80–94.

    Article  Google Scholar 

  8. Brunkwall J, Hauksson H, Bengtsson H, et al. Solitary aneurysms of the iliac system: An estimate of their frequency of occurrence. J Vasc Surg 1989;10:381–384.

    Article  PubMed  CAS  Google Scholar 

  9. Bolin T, Lund K, Skau T. Isolated aneurysms of the iliac artery: What are the chances of rupture? Eur J Vasc Surg 1988;2:213–215.

    Article  PubMed  CAS  Google Scholar 

  10. McCready RA, Pairolero PC, Gilmore JC, et al. Isolated iliac artery aneurysms. Surgery 1983;93:688–693.

    PubMed  CAS  Google Scholar 

  11. Brunkwall J, Bergentz SE. Solitary iliac artery aneurysms. In Yao JST, Pearce WH, eds. Aneurysms: New Findings and Treatments. Norwalk: Appleton & Lange, 1994, pp 459–473.

    Google Scholar 

  12. Cronenwett JL. Factors influencing the long-term results of aortic aneurysm surgery. In Yao J, Pearce W, eds. Long-Term Results in Vascular Surgery. Norwalk: Appleton & Lange, 1993, pp 171–180.

    Google Scholar 

  13. O’Donnell TF, Breckwoldt WL. Elective treatment of aneurysms. Curr Pract Surg 1990;2:72–90.

    Google Scholar 

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Hill, A.B., Ameli, F.M. Fate of the iliac arteries after repair of abdominal aortic aneurysm with an aortobifemoral bypass graft. Annals of Vascular Surgery 12, 330–334 (1998). https://doi.org/10.1007/s100169900163

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