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Retrograde iliac endarterectomy - modified technique combining conventional surgical and interventional procedures
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Abstract
Material and methods. 52 iliac arteries underwent modified retrograde ring-stripper endarterectomy. Passage of the lesions with a guide wire permits endarterectomy over the wire as a central splint under fluoroscopic control. Residual lesions are corrected by balloon or stent angioplasty.
Results. Conversion to a conventional operation was required in 8 limbs. Initial technical success was achieved in 44 limbs. Cumulative secondary patience was 95.8% at 24 months (S.E. 4.7%).
Conclusion. Modified ring-stripper endarterectomy with angioplasty is a safe and effective procedure. Long-term results are required.
Abstract
Material and methods. 52 iliac arteries underwent modified retrograde ring-stripper endarterectomy. Passage of the lesions with a guide wire permits endarterectomy over the wire as a central splint under fluoroscopic control. Residual lesions are corrected by balloon or stent angioplasty.
Results. Conversion to a conventional operation was required in 8 limbs. Initial technical success was achieved in 44 limbs. Cumulative secondary patience was 95.8% at 24 months (S.E. 4.7%).
Conclusion. Modified ring-stripper endarterectomy with angioplasty is a safe and effective procedure. Long-term results are required.
Keywords
iliac; occlusion; stenosis; endarterectomy; intraoperative angioplasty; inguinal exposure
About this articleTitle
Retrograde iliac endarterectomy - modified technique combining conventional surgical and interventional procedures
Journal
Issue
Article type
Research paper
Pages
143-146
Published online
2002-10-21
Page views
713
Article views/downloads
1981
DOI
10.5603/aa.9948
Bibliographic record
Acta Angiologica 2002;8(4):143-146.
Keywords
iliac
occlusion
stenosis
endarterectomy
intraoperative angioplasty
inguinal exposure
Authors
Alfred Schröder
Kersten Mückner
Steffen Vogel