Results of endovascular treatments of Trans-Atlantic Inter-Society Consensus C or D aortoiliac occlusive disease involving the aortic bifurcation

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dc.contributor.authorAmanvermez Senarslan D.
dc.contributor.authorYildırım F.
dc.contributor.authorBayram B.
dc.contributor.authorKurdal A.T.
dc.contributor.authorTetik O.
dc.date.accessioned2024-07-22T08:03:16Z
dc.date.available2024-07-22T08:03:16Z
dc.date.issued2023
dc.description.abstractObjectives: The current study aims to report midterm results of patients treated with endovascular intervention, kissing stent, or covered endovascular reconstruction of the aortic bifurcation, for Trans-Atlantic Inter-Society Consensus C or D aortoiliac occlusive disease involving the aortic bifurcation. Methods: Eighteen patients who have intermittent claudication or chronic limb threatening ischemia with Trans-Atlantic Inter-Society Consensus C or D aortoiliac occlusive disease involving the aortic bifurcation enrolled to the study between January 2018 and January 2021. Kissing stents, Advanta V12 (Atrium, Getinge Group), were used in 13 patients, and the covered endovascular reconstruction of the aortic bifurcation technique was used in 4 patients to reconstruct the aortic bifurcation. The patients were followed for a median of 49 months (min. 2, max.58 months). Patency rates, mortality, morbidities, and reinterventions were recorded. Results: The mean age of the patients was 60.4 ± 10 years. Technical success was achieved in 94.4% of the patients, but one patient had to convert to open surgery. Primary patency rate of the remaining patients was 85.6% at 58 months. Target lesion revascularization rate was 11.7%. One patient had successful reintervention for in stent restenosis, and secondary patency rate was 93.3% at 58 months. Limb salvage rate was 84.6% during the follow-up. Two patients had myocardial infarction (11.1%) and one mortality (5.6%) occurred because of cerebrovascular event in the follow-up. Conclusions: Endovascular techniques can be used safely for reconstruction of the aortic bifurcation in Trans-Atlantic Inter-Society Consensus C or D aortoiliac occlusive disease in selected patients who have high risk for open surgery. Covered endovascular reconstruction of the aortic bifurcation is the only technique that showed patency rates approaching open surgery in treatment of aortoiliac occlusive disease involving the aortic bifurcation to date. Although promising patency results were achieved with kissing-covered stents, long-term patency rates were still lower than those achieved with open surgery. Further randomized controlled studies comparing the long-term results of these techniques are needed. © The Author(s) 2023.
dc.identifier.DOI-ID10.1177/20503121231179836
dc.identifier.issn20503121
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/12196
dc.language.isoEnglish
dc.publisherSAGE Publications Ltd
dc.rightsAll Open Access; Gold Open Access; Green Open Access
dc.subjectheparin
dc.subjectadult
dc.subjectankle brachial index
dc.subjectaortic bifurcation
dc.subjectArticle
dc.subjectbrachial artery
dc.subjectchronic total occlusion
dc.subjectclinical article
dc.subjectcommon iliac artery
dc.subjectcomputed tomographic angiography
dc.subjectconsensus
dc.subjectcritical limb ischemia
dc.subjectDoppler flowmetry
dc.subjectdual antiplatelet therapy
dc.subjectfemale
dc.subjectfollow up
dc.subjectheart infarction
dc.subjecthemodynamics
dc.subjecthuman
dc.subjectin-stent restenosis
dc.subjectinferior mesenteric artery
dc.subjectintermittent claudication
dc.subjectkissing stenting
dc.subjectLeriche syndrome
dc.subjectlimb ischemia
dc.subjectlocal anesthesia
dc.subjectmale
dc.subjectmorbidity
dc.subjectmortality
dc.subjectobservational study
dc.subjectopen surgery
dc.subjectpercutaneous transluminal angioplasty
dc.subjectwalking
dc.subjectwound healing
dc.titleResults of endovascular treatments of Trans-Atlantic Inter-Society Consensus C or D aortoiliac occlusive disease involving the aortic bifurcation
dc.typeArticle

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