Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
6
pubmed:dateCreated
2006-1-4
pubmed:abstractText
The purpose of this study was to compare the perioperative and long-term results of initial successful remote iliac artery endarterectomies (RIAEs) with converted procedures. From April 1994 to September 2003, 63 remote endarterectomies of the external and/or common iliac artery were planned in 62 patients (41 males, 42 procedures). The median age was 65 years (range 39-83 years), and the indication for operation was severe claudication in 37 (59%), rest pain in 16 (25%), and gangrene in 10 (16%) procedures. Initial technical success was achieved in 56 (89%) procedures (group 1); seven conversions (group 2) were necessary. In group 1, the 5-year primary patency rate improved from 64 +/- 15% to a primary assisted patency of 88 +/- 9.3% after percutaneous transluminal angioplasty in 11 patients, with 7 requiring stent placement. The 5-year secondary patency rate was 94 +/- 7.4%. The primary and secondary patency rates in group 2 were 86 +/- 19% and 100%, respectively. RIAE can be offered to patients with long occlusions of the iliac arteries as a first treatment option. The inherent risk of a possible conversion of an intended RIAE to a more invasive surgical procedure has no significant adverse clinical effect on the early and 5-year clinical outcomes.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:issn
1708-5381
pubmed:author
pubmed:issnType
Print
pubmed:volume
13
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
336-42
pubmed:meshHeading
pubmed-meshheading:16390651-Adult, pubmed-meshheading:16390651-Aged, pubmed-meshheading:16390651-Aged, 80 and over, pubmed-meshheading:16390651-Angioplasty, Balloon, pubmed-meshheading:16390651-Arterial Occlusive Diseases, pubmed-meshheading:16390651-Endarterectomy, pubmed-meshheading:16390651-Epidemiologic Methods, pubmed-meshheading:16390651-Female, pubmed-meshheading:16390651-Gangrene, pubmed-meshheading:16390651-Humans, pubmed-meshheading:16390651-Iliac Artery, pubmed-meshheading:16390651-Intermittent Claudication, pubmed-meshheading:16390651-Male, pubmed-meshheading:16390651-Middle Aged, pubmed-meshheading:16390651-Pain, pubmed-meshheading:16390651-Postoperative Complications, pubmed-meshheading:16390651-Stents, pubmed-meshheading:16390651-Surgical Procedures, Minimally Invasive, pubmed-meshheading:16390651-Treatment Outcome
pubmed:articleTitle
Does conversion of intended remote iliac artery endarterectomy alter the early and long-term outcome?
pubmed:affiliation
Department of Surgery, Twenteborg Hospital, Almelo, the Netherlands. smeets_luuk@hotmail.com
pubmed:publicationType
Journal Article, Evaluation Studies