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Open Surgical Management of Aortoiliac Occlusive Disease

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PanVascular Medicine

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Abstract

Open surgical revascularization for isolated aortoiliac disease is a safe, effective, and durable intervention. Patients with critical limb ischemia, TASC C or D lesions, as well as those that have failed previous percutaneous interventions are among those that best served with open surgical intervention. Multiple direct, in-line anatomic, and extra-anatomic approaches exist for revascularization and the operation must be tailored to account for patient-specific anatomy and overall operative risk. Direct in-line reconstruction has a higher rate of patency, approaching 85 % at 10 years, than extra-anatomic bypass; however, the latter may be more appropriate for patients who have either failed or cannot undergo anatomic revascularization due to extreme operative risk.

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Authors and Affiliations

  1. University of Pennsylvania, 3400 Civic Center Boulevard, Philadelphia, PA, 19104, USA

    Scott M. Damrauer M.D. & Dr. Benjamin M. Jackson M.D.

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  1. Scott M. Damrauer M.D.
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  2. Dr. Benjamin M. Jackson M.D.
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Correspondence to Scott M. Damrauer M.D. .

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  1. Akademisches Lehrkrankenhaus MLU, Bitterfeld-Wolfen, Germany

    Peter Lanzer

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Damrauer, S.M., Jackson, B.M. (2014). Open Surgical Management of Aortoiliac Occlusive Disease. In: Lanzer, P. (eds) PanVascular Medicine. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-37393-0_136-2

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  • DOI: https://doi.org/10.1007/978-3-642-37393-0_136-2

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