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Vol 8, No 4 (2002)
Research paper
Published online: 2002-10-21

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Retrograde iliac endarterectomy - modified technique combining conventional surgical and interventional procedures

Alfred Schröder, Kersten Mückner, Steffen Vogel
Acta Angiologica 2002;8(4):143-146.


Background. Retrograde ring-stripper endarterectomy of iliac arteries through an inguinal approach modified by combining interventional procedures.
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.

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