Skip to main content
SpringerLink
Log in

In Patients with Aortoiliac Occlusive Disease, Does Endovascular Repair Improve Outcomes When Compared to Open Repair?

  • Chapter
  • First Online:
Difficult Decisions in Vascular Surgery

Part of the book series: Difficult Decisions in Surgery: An Evidence-Based Approach ((DDSURGERY))

Abstract

Aortobifemoral bypass (ABF) has long been the gold standard for treatment of aortoiliac occlusive disease, proving to be a durable procedure with a 10 year patency rate of 80–90 % in more recent reports. Peri-operative mortality of 1–3 % can be achieved.

Endovascular treatment of aortoiliac lesions has evolved rapidly over the past two decades. Long segment stenosis and occlusion are now increasingly being treated with endovascular therapy, reflecting significant changes in practice patterns since the publication of the Trans-Atlantic Inter-Society Consensus Group (TASC) Guidelines in 2007.

Contemporary results demonstrate that compared to ABF, endovascular therapy has a lower primary patency rate, but similar secondary patency and limb salvage up to 5, and perhaps even 10, years after the index procedure.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 229.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Chiesa R, Marone EM, Tshomba Y, Logaldo D, Castellano R, Melissano G. Aortobifemoral bypass grafting using expanded polytetrafluoroethylene stretch grafts in patients with occlusive atherosclerotic disease. Ann Vasc Surg. 2009;23:764–9.

    Article  PubMed  Google Scholar 

  2. Hertzer NR, Bena JF, Karafa MT. A personal experience with direct reconstruction and extra-anatomic bypass for aortoiliofemoral occlusive disease. J Vasc Surg. 2007;45:527–35; discussion 35.

    Article  PubMed  Google Scholar 

  3. Onohara T, Komori K, Kume M, et al. Multivariate analysis of long-term results after an axillobifemoral and aortobifemoral bypass in patients with aortoiliac occlusive disease. J Cardiovasc Surg (Torino). 2000;41:905–10.

    CAS  Google Scholar 

  4. Reed AB, Conte MS, Donaldson MC, Mannick JA, Whittemore AD, Belkin M. The impact of patient age and aortic size on the results of aortobifemoral bypass grafting. J Vasc Surg. 2003;37:1219–25.

    Article  PubMed  Google Scholar 

  5. Faries PL, LoGerfo FW, Hook SC, et al. The impact of diabetes on arterial reconstructions for multilevel arterial occlusive disease. Am J Surg. 2001;181:251–5.

    Article  CAS  PubMed  Google Scholar 

  6. Norgren L, Hiatt WR, Dormandy JA, et al. Inter-society consensus for the management of peripheral arterial disease (TASC II). J Vasc Surg. 2007;45(Suppl S):S5–67.

    Article  PubMed  Google Scholar 

  7. Chiu KW, Davies RS, Nightingale PG, Bradbury AW, Adam DJ. Review of direct anatomical open surgical management of atherosclerotic aorto-iliac occlusive disease. Eur J Vasc Endovasc Surg Off J Eur Soc Vasc Surg. 2010;39:460–71.

    Article  CAS  Google Scholar 

  8. Dimick JB, Cowan Jr JA, Henke PK, et al. Hospital volume-related differences in aorto-bifemoral bypass operative mortality in the United States. J Vasc Surg. 2003;37:970–5.

    Article  PubMed  Google Scholar 

  9. de Vries SO, Hunink MG. Results of aortic bifurcation grafts for aortoiliac occlusive disease: a meta-analysis. J Vasc Surg. 1997;26:558–69.

    Article  PubMed  Google Scholar 

  10. Back MR, Johnson BL, Shames ML, Bandyk DF. Evolving complexity of open aortofemoral reconstruction done for occlusive disease in the endovascular era. Ann Vasc Surg. 2003;17:596–603.

    Article  PubMed  Google Scholar 

  11. Dua A, Upchurch Jr GR, Lee JT, Eidt J, Desai SS. Predicted shortfall in open aneurysm experience for vascular surgery trainees. J Vasc Surg. 2014;60:945–9.

    Article  PubMed  Google Scholar 

  12. Jongkind V, Akkersdijk GJ, Yeung KK, Wisselink W. A systematic review of endovascular treatment of extensive aortoiliac occlusive disease. J Vasc Surg. 2010;52:1376–83.

    Article  PubMed  Google Scholar 

  13. Danczyk RC, Mitchell EL, Burk C, et al. Comparing patient outcomes between multiple ipsilateral iliac artery stents and isolated iliac artery stents. J Vasc Surg. 2012;55:1637–46 e5; Discussion 46.

    Article  PubMed  Google Scholar 

  14. Ye W, Liu CW, Ricco JB, Mani K, Zeng R, Jiang J. Early and late outcomes of percutaneous treatment of TransAtlantic Inter-Society Consensus class C and D aorto-iliac lesions. J Vasc Surg. 2011;53:1728–37.

    Article  PubMed  Google Scholar 

  15. Kashyap VS, Pavkov ML, Bena JF, et al. The management of severe aortoiliac occlusive disease: endovascular therapy rivals open reconstruction. J Vasc Surg. 2008;48:1451–7, 7 e1-3.

    Article  PubMed  Google Scholar 

  16. Kudo T, Chandra FA, Ahn SS. Long-term outcomes and predictors of iliac angioplasty with selective stenting. J Vasc Surg. 2005;42:466–75.

    Article  PubMed  Google Scholar 

  17. Zannetti S, L’Italien GJ, Cambria RP. Functional outcome after surgical treatment for intermittent claudication. J Vasc Surg. 1996;24:65–73.

    Article  CAS  PubMed  Google Scholar 

  18. Nackman GB, Banavage A, Graham AM. Predictors of health after operation for aortoiliac occlusive and aneurysmal disease. Surgery. 2001;130:370–7.

    Article  CAS  PubMed  Google Scholar 

  19. Klein WM, van der Graaf Y, Seegers J, et al. Dutch iliac stent trial: long-term results in patients randomized for primary or selective stent placement. Radiology. 2006;238:734–44.

    Article  PubMed  Google Scholar 

  20. Sixt S, Alawied AK, Rastan A, et al. Acute and long-term outcome of endovascular therapy for aortoiliac occlusive lesions stratified according to the TASC classification: a single-center experience. J Endovasc Ther Off J Int Soc Endovasc Spec. 2008;15:408–16.

    Google Scholar 

  21. Ichihashi S, Higashiura W, Itoh H, Sakaguchi S, Nishimine K, Kichikawa K. Long-term outcomes for systematic primary stent placement in complex iliac artery occlusive disease classified according to Trans-Atlantic Inter-Society Consensus (TASC)-II. J Vasc Surg. 2011;53:992–9.

    Article  PubMed  Google Scholar 

  22. Bosiers M, Deloose K, Callaert J, et al. BRAVISSIMO: 12-month results from a large scale prospective trial. J Cardiovasc Surg (Torino). 2013;54:235–53.

    CAS  Google Scholar 

  23. Pulli R, Dorigo W, Fargion A, et al. Early and long-term comparison of endovascular treatment of iliac artery occlusions and stenosis. J Vasc Surg. 2011;53:92–8.

    Article  PubMed  Google Scholar 

  24. Piazza M, Ricotta 2nd JJ, Bower TC, et al. Iliac artery stenting combined with open femoral endarterectomy is as effective as open surgical reconstruction for severe iliac and common femoral occlusive disease. J Vasc Surg. 2011;54:402–11.

    Article  PubMed  Google Scholar 

  25. AbuRahma AF, Hayes JD, Flaherty SK, Peery W. Primary iliac stenting versus transluminal angioplasty with selective stenting. J Vasc Surg. 2007;46:965–70.

    Article  PubMed  Google Scholar 

  26. Koizumi A, Kumakura H, Kanai H, et al. Ten-year patency and factors causing restenosis after endovascular treatment of iliac artery lesions. Circ J Off J Japanese Circ Soc. 2009;73:860–6.

    Google Scholar 

  27. Mwipatayi BP, Thomas S, Wong J, et al. A comparison of covered vs bare expandable stents for the treatment of aortoiliac occlusive disease. J Vasc Surg. 2011;54:1561–70.

    Article  PubMed  Google Scholar 

  28. Humphries MD, Armstrong E, Laird J, Paz J, Pevec W. Outcomes of covered versus bare-metal balloon-expandable stents for aortoiliac occlusive disease. J Vasc Surg. 2014;60:337–43.

    Article  PubMed  Google Scholar 

  29. Chang RW, Goodney PP, Baek JH, Nolan BW, Rzucidlo EM, Powell RJ. Long-term results of combined common femoral endarterectomy and iliac stenting/stent grafting for occlusive disease. J Vasc Surg. 2008;48:362–7.

    Article  PubMed  Google Scholar 

  30. Bekken JA, Vos JA, Aarts RA, de Vries JP, Fioole B. DISCOVER: Dutch Iliac Stent trial: COVERed balloon-expandable versus uncovered balloon-expandable stents in the common iliac artery: study protocol for a randomized controlled trial. Trials. 2012;13:215.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  31. Fakhry F, Rouwet EV, den Hoed PT, Hunink MG, Spronk S. Long-term clinical effectiveness of supervised exercise therapy versus endovascular revascularization for intermittent claudication from a randomized clinical trial. Br J Surg. 2013;100:1164–71.

    Article  CAS  PubMed  Google Scholar 

  32. Murphy TP, Cutlip DE, Regensteiner JG, et al. Supervised exercise versus primary stenting for claudication resulting from aortoiliac peripheral artery disease: six-month outcomes from the claudication: exercise versus endoluminal revascularization (CLEVER) study. Circulation. 2012;125:130–9.

    Article  PubMed  Google Scholar 

  33. Schurmann K, Mahnken A, Meyer J, et al. Long-term results 10 years after iliac arterial stent placement. Radiology. 2002;224:731–8.

    Article  PubMed  Google Scholar 

  34. Scali ST, Schmit BM, Feezor RJ, et al. Outcomes after redo aortobifemoral bypass for aortoiliac occlusive disease. J Vasc Surg. 2014;60:346–55 e1.

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Division of Vascular and Endovascular Surgery, Department of Surgery, University of California, Davis, Sacramento, CA, USA

    Michael S. Hong MD & William C. Pevec MD

Authors
  1. Michael S. Hong MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. William C. Pevec MD
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to William C. Pevec MD .

Editor information

Editors and Affiliations

  1. The University of Chicago Medical Center and Biological Science Division, Chicago, Illinois, USA

    Christopher L. Skelly

  2. The University of Chicago Medical Center and Biological Science Division, Chicago, Illinois, USA

    Ross Milner

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Hong, M.S., Pevec, W.C. (2017). In Patients with Aortoiliac Occlusive Disease, Does Endovascular Repair Improve Outcomes When Compared to Open Repair?. In: Skelly, C., Milner, R. (eds) Difficult Decisions in Vascular Surgery. Difficult Decisions in Surgery: An Evidence-Based Approach. Springer, Cham. https://doi.org/10.1007/978-3-319-33293-2_12

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-33293-2_12

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-33291-8

  • Online ISBN: 978-3-319-33293-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation