The Turkish Journal of Vascular Surgery
Yazarlar: Gökhan GÖKASLAN, Hayati DENİZ, Yavuz ARSLANOĞLU, Özerdem ÖZÇALIŞKAN, Eren Oral KALSAĞDE, Gökalp GÜZEL, Mehmet AŞAM, Alptekin YASIM, Haşim ÜSTÜNSOY
Konular:-
Anahtar Kelimeler:Peripheral arterial disease; endovascular procedures; iliac artery
Özet: Introduction: In this retrospective study, we aimed to present our hybrid approach treatment results for peripheral arterial disease. Material and Methods: Between March 2010 and June 2011, 16 patients (14 males, 2 females) underwent staged hybrid approach. Their mean age was 59±5.8 (range 50-71) years and 10 of them had hypertension, 8 of them had coronary artery disease, 6 of them had carotid artery disease, 4 of them had diabetes mellitus and one of them had val- vular heart disease. All patients underwent to surgical operation after performing angioplasty and stent. Results: Stent was placed to common iliac artery in 9 patients, external iliac artery in 4 pati- ents, superficial femoral artery in one patient and bilateral common iliac artery in one patient. Two months after the stent procedure, left femoro-popliteal bypass surgery was performed in seven pa- tients, right femoro-popliteal bypass surgery in six patients, bilateral femoro-popliteal bypass in two patients and extra anatomic femoro-femoral bypass surgery in one patient. All operations we- re performed under spinal anesthesia. Reoperation was needed because of early graft occlusion in one patient who had left femoro-popliteal bypass surgery. Despite the short follow up period (9-24 months, mean 16.5 months), no more problems occurred in other patients and secondary patency rate was 100%. Conclusion: In recent years, authors suggest that endovascular procedures outclass surgical interventions particularly in iliac artery stenosis, with lower complication and higher pa- tency rates. Therefore, in patients with concomitant stenotic lesions in iliac and distal artery seg- ments, using a two-stage intervention strategy which first eliminates iliac artery stenosis with an endovascular intervention may increase distal bypass surgery success with increasing the inflow of blood to the distal arterial segments.