Abstract
This report summarizes the technical feasibility and early results of endovascular iliofemoral stented grafts in the treatment of iliofemoral occlusive disease. Twenty-four patients (mean age 71 years) underwent 29 lower-extremity inflow procedures for claudication ( n=7) or limb threatening ischaemia ( n=17). The technical success rate for endovascular grafts was 93% ( n = 27). Some 85% of the grafts originated from the aortoiliac junction or the common iliac arteries. Outflow procedures were performed in all cases and consisted of profundaplasty ( n=17) and/or femorodistal grafting ( n=13). The operative mortality rate was 9% and one occlusion was noted in the early postoperative period. The mead (s.d.) primary and secondary cumulative patency rates after 1 year were 85(10)% and 95(5)% respectively. The corresponding limb salvage rate was 95(4)%. The authors conclude that endovascular iliofemoral stented grafts through a single groin incision are technically feasible and that early patency rates are acceptable. More experience is needed however before widespread application of these new techniques can be justified.
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