Abstract

TALLEDO, Oscar et al. Aorto-Iliac Occlusive disease: From surgical to endovascular treatment. Rev Med Hered [online]. 2015, vol.26, n.3, pp.177-185. ISSN 1018-130X.

Objectives: To assess early and late outcomes among different treatment techniques in patients with Aortoiliac Occlusive Disease (AIOD) and compare surgical, endovascular and hybrid technique. Methods: We have retrospectively analyzed records of 50 consecutive patients treated from March, 1993 to December, 2014. We divided them in 3 groups: Surgical (Q Group), Endovascular (E Group) and Hybrid treatment (H group). Successful revascularization was achieved with both surgical and endovascular techniques. Results: Clinical and technical success was achieved in all cases but one, who presented acute aorticocclusion. This was the only in-hospital postoperative mortality case due to acute massive athero-embolism post endovascular procedure. During 48.5 months follow up (1 - 204 months) there was norecurrence of symptoms. Primary and Secondary Patency was of 69% and 92% on Q group and 100% on E group. Late mortality was of 2 cases in Q Group, none on EGroup and 1 on H Group. Conclusions: Our series show successful outcomes using either endovascular or surgical techniques to treat AIOD at 30days and 4 years follow up. Our results are similar to those published on international studies. Less complex lesions were treated mostly with endovascular techniques with good results. It is crucial to perform Arterial Doppler plethismography at rest and post exercise in order to detect these cases in early stages.

Keywords : Aortoiliac occlusive disease; Aortoiliac stent; iliac arteryangioplasty; aorto-iliac bypass; abdominal aorticstent.

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