Home Current issue Ahead of print Search About us Editorial board Archives Submit article Instructions Subscribe Contacts Login 
Year : 2017  |  Volume : 36  |  Issue : 4  |  Page : 401-406

Endovascular management of Trans-Atlantic Inter-Society Consensus C and D aortoiliac occlusive disease as a feasible, effective, and durable intervention

Department of Vascular Surgery, Faculty of Medicine, Cairo University, Cairo, Egypt

Correspondence Address:
Ahmed R Tawfik
Manyl El Roda, P.O. Box 138, Cairo 11553
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ejs.ejs_63_17

Rights and Permissions

Context The progress and innovations in endovascular tools have replaced standard surgical intervention with endovascular intervention, including long, complex lesions. Aim The aim of the study was to evaluate the results of endovascular management as the first-approach intervention for symptomatic extensive Trans-Atlantic Inter-Society Consensus (TASC) C and D aortoiliac disease. Patients and methods This was a prospective study. Fifty patients with long, complex TASC C and D aortoiliac lesions underwent revascularization by endovascular-first approach. Technical success and follow-up results after 6, 12, and 24 months were documented. SPSS software version 18 was used for statistical analyses. Results Of the 50 patients, 84% were male. All the patients had TASC C and D lesions and 66% of them had critical limb ischemia. All the patients were treated by endovascular-first approach. A total of 92 stents were used, of which 66.3% were balloon mounted, and they were located in the common iliac artery. The technical success rate was 90%, and the ankle–brachial (A/B) index improved significantly (P=0.0001). The primary patency rates were 100, 81.8, and 80% at 6, 12, and 24 months, respectively. A total of 6.6% of patients developed major complications, which were successfully managed. Mortality rate was 2.2%, which was not procedure related. Conclusion The endovascular-first approach could be a good alternative and replace the standard surgical management for long, complex aortoiliac occlusive disease.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded41    
    Comments [Add]    

Recommend this journal