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Modern Treatment Aspects of Aortoiliac Occlusive Disease and Lerich�?© Syndrome - a Jump into Endovascular Era

Dobrichkoff L.

69 of the endovascular cases and 65 of the open repairs were with Leriché Syndrome, the rest of the patients being with uni- or bilateral iliac occlusion. Technical success was achieved in all patients, while preoperative mortality rate remained 0.0% in both groups. In 4 endovascular cases (2.5%) major intraoperative complications occurred, one of them was switched to open surgery. Early postoperative mortality is 1.9% for endovascular vs. 6.8% for open surgery. Primary patency at 12th month is 98.8% for group A (n=159) and 98.6% for group B (n=72). Conclusion: Short- and long-term patency for both methods is similar and remains significantly high. Stentgrafts show better long-term results compared to bare-metal stents due to higher patency rate, no intimal hyperplasia and in-stent restenoses but recanalization with bare-metal stents is appropriate option, due to lower price, and doesn’t preclude the possibility of re-stenting, secondary CERAB or open surgical reconstruction. Endovascular recanalization is better method due to lower mortality rate, shorter hospital stay, higher patient satisfaction and better quality of life.


 
అసోకేషన్స్, సొసైటీలు మరియు యూనివర్శిటీల కోసం పీర్ రివ్యూ పబ్లిషింగ్ pulsus-health-tech
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