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Cureus 2018 Nov 7;10(11):e3558. Epub 2018 Nov 7.

Cardiac/thoracic/vascular Surgery, Penn State College of Medicine, Penn State Milton S. Hershey Medical Center, Hershey, USA.

Objectives   Readmissions to hospital after surgical procedures are considered as reflective of poor quality of healthcare provided during the index hospitalization and are associated with increased costs of healthcare. Aortoiliac occlusive disease represents an aggressive form of atherosclerotic disease and has been traditionally treated with open surgical bypasses. Endovascular interventions for aortoiliac occlusive disease are associated with comparable outcomes to open surgical procedures. Read More

Transplant Proc 2018 Jun 26. Epub 2018 Jun 26.

Insubria University, Emergency and Transplant Surgery Department, Ospedale di Circolo e Fondazione Macchi, Varese, Italy.

Aortoiliac occlusive disease (AOD) is a great threat for kidney transplantation (KT). Here we report the case of an aortoiliac bypass, performed simultaneously with renal transplantation using venous grafts obtained from the deceased donor. The recipient was a 68-year-old woman with significant stenosis of the aortoiliac axis. Read More

J Vasc Surg 2018 Dec 21. Epub 2018 Dec 21.

Division of Vascular and Endovascular Surgery, University of Massachusetts Medical School, Worcester, Mass. Electronic address:

Background: The Vascular Quality Initiative (VQI) Cardiac Risk Index (CRI) was developed to estimate the risk of postoperative myocardial infarction (POMI) for noncardiac vascular procedures. Whereas suprainguinal bypass carried the second highest odds of POMI, the performance of the all-procedure model declined when it was applied to the suprainguinal subset. We sought to improve the VQI CRI for application in this high-risk group undergoing open revascularization for aortoiliac occlusive disease. Read More

J Vasc Surg 2019 Jan 29;69(1):129-140. Epub 2018 Jun 29.

Division of Vascular Surgery & Endovascular Therapy, University of Florida, Gainesville, Fla.

Background: Acute mesenteric ischemia (AMI) is a challenging clinical problem associated with significant morbidity and mortality. Few contemporary reports focus specifically on patients undergoing open mesenteric bypass (OMB) or delineate outcome differences based on bypass configuration. This is notable, because there is a subset of patients who are poor candidates for endovascular intervention including those with flush mesenteric vessel occlusion, long segment occlusive disease, and a thrombosed mesenteric stent and/or bypass. Read More

J Endovasc Ther 2018 Nov 30:1526602818810535. Epub 2018 Nov 30.

1 Department of Surgery, Rijnstate Hospital, Arnhem, the Netherlands.

Purpose: To evaluate short- and long-term technical and clinical outcomes after kissing stent treatment of aortoiliac occlusive disease (AIOD) based on an individual participant data (IPD) meta-analysis.

Materials And Methods: A search of the Scopus database identified 156 articles on KS treatment of AIOD; of these 22 met the inclusion criteria. Authors of 19 articles with contact information were approached to join an IPD consortium. Read More

Ann Vasc Surg 2018 Nov 23. Epub 2018 Nov 23.

Vascular and Endovascular Surgery Unit, University of Bari, Bari, Italy.

The presence of a concomitant aortoiliac occlusive disease and abdominal aortic aneurysm (AAA) is rare and limits the implant of a bifurcated endograft.

Background: The objective of the study was to evaluate early and midterm results of an endovascular or a hybrid approach in patients undergoing iliac revascularization and AAA exclusion.

Methods: We reviewed our clinical series of patients from January 2016 to February 2018. Read More

Asian J Surg 2019 Jan 12;42(1):235-239. Epub 2018 Nov 12.

Department of Thoracic and Cardiovascular Surgery, Pusan National University Hospital, Republic of Korea.

Background: In Leriche syndrome, postoperative graft thrombosis remains one of the most significant clinical challenges.

Methods: We reviewed 51 patients who underwent surgery for aortoiliac occlusive disease at our hospital from January 2007 to December 2014. The factors associated with graft patency were determined using the Cox proportional hazard model. Read More

Vasc Endovascular Surg 2018 Nov 14:1538574418807104. Epub 2018 Nov 14.

2 Division of Vascular Surgery, Department of Surgery, The Mount Sinai Medical Center, New York, NY, USA.

Introduction:: Aortobifemoral bypass is a time-honored, durable surgery allowing restoration of lower extremity blood. However, the potential for significant complications exists, impacting mortality, morbidity, and quality of life. Minimally invasive aortobiiliofemoral endarterectomy offers an alternative to prosthetic bypass and its associated complications. Read More

J Cardiovasc Surg (Torino) 2018 Nov 7. Epub 2018 Nov 7.

Division of Vascular Surgery, University of Cincinnati Medical Center, Cincinnati, OH, USA -

Background: Although aortoiliac occlusive disease (AIOD) is preferentially treated endovascularly, some patients are still better served with an aortobifemoral bypass (ABF). For those patients, surgical treatment options include both standard open operations as well as laparoscopic ABF (LapABF). Several European centers perform LapABF with favorable results instead of open surgery, but this has not been widely embraced in the United States. Read More

Ann Vasc Surg 2018 Oct 17. Epub 2018 Oct 17.

Unit of Vascular Surgery, Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Messina, Italy.

Background: The aim of this study is to retrospectively analyze the early and long-term outcomes of endovascular treatment of Trans-Atlantic Inter-Society Consensus II class C and D (TASC II) aortoiliac occlusive disease with an expanded polytetrafluoroethylene-covered stent graft.

Methods: Between January 2006 and November 2017, 61 patients (53 males, 8 females), with symptomatic aortoiliac stenotic and/or occlusive disease, were treated with VIABAHN (W.L. Read More

J Vasc Surg 2018 Oct 3. Epub 2018 Oct 3.

Division of Vascular Surgery & Endovascular Therapy, University of Florida, Gainesville, Fla.

Objective: Thoracofemoral bypass (TFB) is an alternative to aortofemoral bypass (AFB) or extra-anatomic bypass for severe aortoiliac occlusive disease (AIOD). TFB may be particularly useful in select patients with concurrent visceral aortic branch vessel disease, infrarenal aortic occlusions, or after failed AFB. However, there are few contemporary series describing the indications and outcomes for TFB. Read More

Catheter Cardiovasc Interv 2018 Dec 23;92(7):1345-1351. Epub 2018 Sep 23.

Kyoto University Hospital, Kyoto, Kyoto, Japan.

Purpose: The impact of hemodialysis (HD) on aortoiliac (AI) occlusive lesions remains unknown. Here, we report the 3-year clinical outcomes of endovascular treatment (EVT) for AI occlusive lesions in propensity-matched populations of patients who did and did not undergo HD.

Methods: The cohort of this large-scale, multicenter, retrospective registry study included 574 consecutive patients with AI occlusive disease. Read More

Medicine (Baltimore) 2018 Sep;97(38):e12339

Division of Cardiology, Dankook University Hospital, Dankook University College of Medicine, Cheon-an, Chungchungnam-do, Republic of Korea.

Aortoiliac occlusive disease (AIOD) affects the systemic vascular resistance and increases the afterload because the left ventricle (LV) must work harder to eject blood into a smaller vascular bed. This study was to determine whether successful revascularization of AIOD is associated with improvement of left ventricular diastolic dysfunction (LVDD).A total of 37 patients with AIOD (34 men and 3 women; age 65. Read More

PLoS One 2018 6;13(9):e0203350. Epub 2018 Sep 6.

Department of General and Vascular Surgery, Poznan University of Medical Sciences, Poznan, Poland.

Background: Little is known on the role of selenoprotein genes in cardiovascular disease. This study examines the associations of the SEPP1, SELENOS, TXNRD1, TXNRD2, GPX4, and SOD2 polymorphisms and selenoprotein P (SeP) and thioredoxin concentrations with the development of abdominal aortic aneurysm (AAA) and aortoiliac occlusive disease (AOID), as well as their influence on cardiac phenotype.

Methods: 564 patients with AAA, 400 patients with AIOD, and 543 controls were enrolled and characterized for coronary artery disease, myocardial infarction, and systolic heart failure (HF) occurrence. Read More

Am Surg 2018 Aug;84(8):1388-1393

The purpose of our study was to evaluate the rate of ventral hernia repair (VHR) after open abdominal aortic anneurysm in New York State compared with the rate of VHR after open abdominal aortic bypass procedures. The Statewide Planning and Research Cooperative System database was queried for all abdominal aortic aneurysm (AAA) and bypass procedures performed between 2000 and 2010. Social security death index was used to identify patients who died. Read More

Medicine (Baltimore) 2018 Aug;97(35):e12181

Department of Physical Medicine and Rehabilitation, National Cheng Kung University Hospital.

Rationale: Spinal cord infarction is rarely caused by hypercoagulable states. Polycythemia vera (PV) is a myeloproliferative neoplasm that can contribute to thrombotic events due to increased blood viscosity. We report a case of spinal cord infarction due to extensive aortic thrombosis caused by PV. Read More

J Vasc Interv Radiol 2018 09;29(9):1263

Department of Interventional Radiology, Kaiser Permanente Los Angeles Medical Center, 4867 W. Sunset Blvd., Los Angeles, CA 90027.

J Endovasc Ther 2018 Oct 20;25(5):632-639. Epub 2018 Aug 20.

1 Heart and Vascular Centre, Semmelweis University, Budapest, Hungary.

Purpose: To determine the long-term patency of aortoiliac kissing stents and to identify predisposing factors for the development of in-stent restenosis (ISR).

Methods: A retrospective analysis was conducted of 105 patients (median age 60.9 years; 64 women) with symptomatic aortoiliac occlusive disease who had kissing stents implanted between 2001 and 2015. Read More

Eur J Vasc Endovasc Surg 2018 Nov 14;56(5):663-671. Epub 2018 Aug 14.

Department of Vascular Surgery, VU University Medical Centre, Amsterdam, The Netherlands; Department of Physiology (Amsterdam Cardiovascular Sciences) VU University Medical Centre, Amsterdam, The Netherlands. Electronic address:

Objectives: Perivascular adipose tissue (PVAT) is currently seen as a paracrine organ that produces vasoactive substances, including inflammatory agents, which may have an impact on the vasculature. In this study PVAT density was quantified in patients with an aortic aneurysm and compared with those with a non-dilated aorta. Since chronic inflammation, as the pathway to medial thinning, is a hallmark of abdominal aortic aneurysms (AAAs), it was hypothesised that PVAT density is higher in AAA patients. Read More

Ann Vasc Surg 2018 Aug 14. Epub 2018 Aug 14.

Vascular & Endovascular Surgery, Department of Surgery, Kaiser Permanente Downey Medical Center, Downey, CA; Department Chief, Department of Surgery, Kaiser Permanente Downey Medical Center, Downey, CA.

Aortoiliac occlusive disease is a common cause of lower extremity claudication. Patients are typically found to have diminished femoral pulses and abnormal noninvasive vascular studies of the lower extremities. Isolated lesions of the internal iliac arteries are much less commonly treated but can cause similar claudication symptoms in the buttocks, hips, or thighs. Read More

Radiologe 2018 Sep;58(9):829-836

Institut für Diagnostische und Interventionelle Radiologie, St.-Johannes-Hospital, Johannesstraße 9-17, 44137, Dortmund, Deutschland.

Clinical Issue: Aortic bifurcation disease is a manifestation of arteriosclerosis in about 95% of cases. Stenotic disease of the aortic bifurcation is a special form of peripheral arterial occlusive disease (PAOD). Men older than 60 years are particularly affected. Read More

Ann Vasc Surg 2019 Jan 3;54:328-334. Epub 2018 Aug 3.

Department of Radiology, Austin Hospital, Melbourne, Australia.

Background: Endovascular intervention for chronic total occlusions (CTOs) in aortoiliac occlusive disease (AIOD) poses technical challenges. In this manuscript, our experience of fine needle recanalization for the treatment of iliac artery CTO is described.

Method: A prospective database recorded treatment of 11 limbs in 11 patients since 2011 using this technique. Read More

Ann Vasc Surg 2019 Jan 4;54:110-117. Epub 2018 Aug 4.

Department of Vascular Surgery, University of Florida, Gainesville, FL.

Background: Renal artery anomalies occur at a rate of 1-2% and present a challenge to vascular surgeons performing aortic surgery. We describe adjuncts used to manage such anatomic variants.

Methods: A single surgeon registry of all abdominal aortic aneurysms repaired in an academic center was retrospectively reviewed. Read More

Acta Cardiol Sin 2018 Jul;34(4):313-320

Division of Cardiovascular Surgery, Department of Surgery, Taipei Veterans General Hospital.

Background: Treatment for extensive aortoiliac occlusive disease (AIOD) includes endovascular interventions, hybrid procedures and surgical reconstruction. This study evaluated the short-term outcomes of endovascular and hybrid procedures in patients with Trans-Atlantic Inter-Society Consensus II (TASC-II) D AIOD lesions.

Materials And Methods: From January 2013 to June 2015, 41 patients with TASC-II D AIOD lesions who underwent revascularization at our institute were retrospectively included. Read More

Ann Vasc Surg 2018 Nov 25;53:184-189. Epub 2018 Jul 25.

UC San Diego and Veterans Administration Medical Center San Diego, San Diego, CA. Electronic address:

Background: Controversy remains over how to best manage chronic total occlusions of the aortoiliac (AI) system. Uncovered stents are the traditional choice but offer less durability in theory with the risk of stent ingrowth. External iliac artery (EIA) occlusions are challenging due to access difficulty. Read More

J Vasc Surg 2018 Dec 9;68(6):1796-1804.e2. Epub 2018 Jul 9.

Division of Vascular and Endovascular Surgery, Brigham and Women's Heart and Vascular Center, Harvard Medical School, Boston, Mass. Electronic address:

Objective: Endovascular intervention has supplanted open bypass as the most frequently used approach in patients with aortoiliac segment atherosclerosis. We sought to determine whether this trend together with changing demographic and clinical characteristics of patients undergoing aortobifemoral bypass (ABFB) for aortoiliac occlusive disease (AOD) have an association with postoperative outcomes.

Methods: Using a prospectively maintained institutional database, we identified patients who underwent ABFB for AOD from 1985 to 2015. Read More

Gen Thorac Cardiovasc Surg 2018 Jun 19. Epub 2018 Jun 19.

Department of Cardiovascular Surgery, Iwate Medical University Memorial Heart Center, 19-1 Uchimaru, Morioka, Iwate, 020-8505, Japan.

We present the case of a 77-year-old man with a saccular descending thoracic aortic aneurysm who underwent successful antegrade thoracic endovascular aortic repair (TEVAR) via the left axillary artery. The patient had a history of axillo-bifemoral bypass grafting due to aortoiliac occlusive disease (Leriche syndrome), which precluded normal retrograde TEVAR. Upon successful procedure completion, no endoleak was noted on postoperative computed tomography. Read More

EJVES Short Rep 2018 5;39:47-49. Epub 2018 Jun 5.

Vascular Surgery Division, Hospital Clinic, Barcelona, Spain.

Introduction: Thoracic endovascular aortic repair (TEVAR) has become the preferred option for treatment of thoracic aortic pathology, but lack of vascular access options is a common contraindication to TEVAR.

Case Report: The authors report a case of a 67 year old male patient with multiple revascularisation procedures: bilateral axillofemoral bypass and thoracic aortofemoral bypass, both occluded. An anastomotic pseudoaneurysm of the thoracic aorta developed and detected on computed tomography angiography (CTA). Read More

Clin Pract Cases Emerg Med 2017 Nov 3;1(4):315-318. Epub 2017 Oct 3.

Desert Regional Medical Center, Department of Emergency Medicine, Palm Springs, California.

Aortoiliac occlusive disease (AOD) is a rare presentation of thrombosis of the abdominal aorta. Also known as Leriche syndrome, its classic description entails claudication of the buttocks, thighs, and calves, absent femoral pulses, and impotence. AOD risk factors include smoking, hypertension, hyperlipidemia, diabetes, chronic renal insufficiency, and hypercoagulopathy. Read More

J Vasc Surg 2018 Nov 24;68(5):1422-1429. Epub 2018 May 24.

Division of Vascular and Endovascular Surgery, Hospital do Servidor Público Estadual de São Paulo, São Paulo, Brazil.

Objective: This study aimed to report the long-term limb salvage, survival and patency rates of endovascular treatment for aortoiliac occlusive disease (AIOD) when outflow was achieved through the profunda femoris artery (PFA) only vs both the PFA and superficial femoral artery (SFA).

Methods: From January 2008 to July 2016, patients with AIOD who underwent aortoiliac angioplasty at the Division of Vascular and Endovascular Surgery, Hospital do Servidor Público Estadual, São Paulo, Brazil, were classified into two groups according to whether they had femoral outflow via the PFA only (group 1) or both the PFA and SFA (group 2) in the affected leg. The primary outcome was amputation-free survival. Read More

Ann Vasc Surg 2018 Aug 17;51:329.e1-329.e4. Epub 2018 May 17.

Vascular Medicine and Peripheral Vascular Intervention, North Central Heart Institute, Sioux Falls, SD.

Aortoiliac occlusive disease results in varying degrees of pelvic and lower extremity arterial insufficiency. Treatment approach has evolved, and endovascular therapies are being successfully reported for high-grade lesions. However, Trans Atlantic Inter-Society Consensus D often necessitates open revascularization. Read More

Ann Vasc Surg 2018 Oct 6;52:216-224. Epub 2018 Jun 6.

Post-Graduating Course of Medical Sciences, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Porto Alegre, Rio Grande do Sul, Brazil; Post-Graduating Course of Pathology, UFCSPA, Porto Alegre, Rio Grande do Sul, Brazil.

Background: Aortoiliac occlusive disease (AOD) and abdominal aortic aneurysm (AAA) are very important cardiovascular diseases that present different aspects of pathophysiology; however, oxidative stress and inflammatory response seem be relevant in both of them. Our objective was to evaluate oxidative damage and degree of inflammatory infiltrate in aortas of patients surgically treated for AOD and AAA.

Materials And Methods: Levels of reactive oxygen species (ROS), nicotinamide adenine dinucleotide phosphate (NADPH) oxidase activity, and myeloperoxidase (MPO) expression as well as nitrite levels and superoxide dismutase (SOD) and catalase (CAT) activities were evaluated in aortas of patients with AOD (n = 16) or AAA (n = 14), while the control group was formed by cadaveric organ donors (n = 10). Read More

Rev Port Cir Cardiotorac Vasc 2017 Jul-Dec;24(3-4):115-116

Hospital de Santa Marta, Portugal.

Introduction: Nowadays, axillofemoral bypass is viewed as an end-of-line solution for lower limb revascularization, owing to its classically described poor long-term patency, and recent advances in endovascular options for patients with complex aortoiliac anatomy not suitable for open reconstruction. There is a marked difference in patient profiles in published series of axillofemoral bypass, reflecting changing procedures indications due to technical innovations. The objective of this study is to determine the contemporary profile of patients treated with axillofemoral bypass and their outcome. Read More

J Vasc Surg 2018 Nov 9;68(5):1430-1437. Epub 2018 Aug 9.

Sarasota Vascular Specialists, Affiliated with Florida State University, Sarasota, Fla.

Objective: Axillofemoral bypasses (AxFBs) have been used since 1962 to treat aortoiliac disease. In the past, reported patency rates (37%-76%) for these extra-anatomic grafts have been inferior to those for anatomic aortic grafting. Reported low survival rates after AxFB (40%-50%) have confirmed that these procedures have been used primarily in patients at high risk for complications from aortofemoral bypass. Read More

J Vasc Surg 2018 08 20;68(2):503-509. Epub 2018 Mar 20.

Department of Angiology, Vascular and Endovascular Surgery, Hospital Universitario de Guadalajara, Guadalajara, Spain.

Objective: Duplex ultrasound (DUS) arterial mapping of the aortoiliac area is limited by obesity, abdominal gas, and the need to use a low-frequency probe (and therefore poorer resolution) in the examination. The aim of this study was to analyze the degree of agreement between DUS mapping of the aortoiliac area and angiography or contrast-enhanced computed tomography angiography (CTA).

Methods: This was a retrospective observational study. Read More

Intern Med 2018 07 28;57(13):1953-1954. Epub 2018 Feb 28.

Department of Neurology, Nagano Red Cross Hospital, Japan.

Ann Vasc Surg 2018 Jul 24;50:73-79. Epub 2018 Feb 24.

Division of Vascular and Endovascular Surgery, University of Miami Miller School of Medicine and Bruce W. Carter Miami VAMC, Miami, FL. Electronic address:

Background: This study examines the outcome of hybrid revascularization combining iliofemoral endarterectomy and iliac artery stenting using covered stents in TransAtlantic Inter-Society Consensus (TASC) C and D aortoiliac occlusive disease (AIOD) involving the common femoral artery (CFA).

Methods: A retrospective review was conducted in patients with TASC C and D AIOD involving the CFA and undergoing hybrid revascularization. Covered stents were used primarily. Read More

Vojnosanit Pregl 2017 Jan;74(1):81-4

Introduction: Aortoiliac occlusive disease and abdominal aortic aneurysm in patients with renal insufficiency on hemodialysis can significantly influence the success of renal transplantation. In the recent past, advanced atherosclerosis was considered as contraindication for renal transplantation. Complicated creation of vascular anastomoses and progression of occlusive or aneurysmal disease were the main reasons. Read More

J Laparoendosc Adv Surg Tech A 2018 May 18;28(5):562-568. Epub 2018 Jan 18.

2 Division of Vascular Surgery, University of Iowa Hospitals and Clinics , Iowa City, Iowa.

Background: Peripheral arterial disease (PAD) is a complex and highly prevalent pathology. It has been estimated that ∼8.5 million people in the United States are affected by PAD, of which 12%-20% are older than age 60. Read More

J Med Case Rep 2018 Jan 11;12(1). Epub 2018 Jan 11.

Department of Cardiology, Wilson Regional Medical Center, United Health Services Hospitals, 30 Harrison St #250, Johnson City, NY, 13790, USA.

Background: Aortoiliac occlusive disease, which is also referred to as Leriche syndrome, is a chronic atherosclerotic occlusive disease that occurs at the level of the aortic bifurcation. It is often thought to present with a triad of clinical symptoms: (1) intermittent lower extremity vascular claudication, (2) impotence, and (3) weak/absent femoral pulses.

Case Presentation: We report a case of a 47-year-old Caucasian woman who presented with an acute inferior ST-elevation myocardial infarction. Read More

Thorac Cardiovasc Surg 2018 04 31;66(3):266-272. Epub 2017 Dec 31.

Department of Cardiovascular Surgery, Balıkesir University Faculty of Medicine, Balıkesir, Turkey.

Femorofemoral crossover bypass is a surgical arterial revascularization modality which is commonly performed for unilateral aortoiliac occlusive disease. It is primarily applied to patients with intermittent claudication or critical limb ischemia in whom underlying anatomic constraints rule out endovascular means of restoring in-line flow and those who do not qualify for anatomic reconstruction due to the comorbid conditions that preclude a more invasive open surgical approach. This surgical procedure may be also used as a complementary component of endovascular repair of abdominal aortic aneurysms when one aortoiliac arterial system is occluded to ensure exclusion of the aortic aneurysm. Read More

J Gen Fam Med 2017 10 21;18(5):297-298. Epub 2017 Apr 21.

Department of General Medicine Toyama University Medical Hospital Toyama Japan.

J Vasc Surg 2018 02 13;67(2):615-617. Epub 2017 Dec 13.

Division of Vascular Surgery, Department of Surgery, University of Tennessee Graduate School of Medicine, Knoxville, Tenn.

Endovascular intervention has become the mainstay for treatment of most patients suffering from peripheral vascular disease. We describe a patient with a known nickel allergy who underwent placement of a stainless steel stent for aortoiliac occlusive disease. Despite our attempt to avoid a nickel-containing stent, the patient developed a diffuse rash consistent with a nickel or metal allergy. Read More

Ann Vasc Surg 2018 Apr 5;48:45-52. Epub 2017 Dec 5.

Vascular Surgery Unit, Department of Cardiothoracic and Vascular Surgery, University Hospital of Heraklion, University of Crete Medical School, Heraklion, Greece.

Background: Critical limb ischemia (CLI) often results from multilevel occlusive disease. There are occasions where a patent profunda femoral artery (PFA) is the only target artery that can be used as outflow during reconstruction to bypass aortoiliac disease (AOID), with no further option for infrainguinal revascularization. We aim to report results of the use of PFA as the sole target vessel for the treatment of these patients. Read More

J Vasc Surg 2018 05 21;67(5):1438-1447. Epub 2017 Nov 21.

Department of Surgery, Rijnstate Hospital, Arnhem, The Netherlands.

Objective: The objective of this study was to demonstrate the 3-year outcome of the covered endovascular reconstruction of the aortic bifurcation (CERAB) technique for the treatment of extensive aortoiliac occlusive disease (AIOD).

Methods: Between February 2009 and July 2016, all patients treated with the CERAB technique for AIOD were identified in the local databases of two centers and analyzed. Demographics and lesion characteristics were scored. Read More

Case Rep Cardiol 2017 6;2017:7983748. Epub 2017 Sep 6.

Division of Cardiology, Einstein Medical Center, Philadelphia, PA 19141, USA.

Surgical management of advance aortoiliac occlusive disease is time-tested and a widely practiced strategy, particularly when there is significant coronary artery disease associated with aortoiliac occlusive disease. The technological advances in the field of percutaneous techniques have facilitated the use of nonsurgical endovascular alternatives for peripheral arterial disease in patients with significant comorbidities at high surgical risk, as illustrated in our case report. We report a case of chronic total occlusion of the aorta that was treated percutaneously with endovascular stenting. Read More

J Atheroscler Thromb 2018 Apr 5;25(4):344-349. Epub 2017 Oct 5.

Kansai Rosai Hospital Cardiovascular Center.

Aim: We investigated 2-year clinical outcomes after implantaton of Epic self-expanding nitinol stents for patients with peripheral artery disease (PAD) due to the aortoiliac occlusive disease (AIOD).

Methods: This study was a multicenter and retrospective study. From February 2013 through October 2014, 292 lesions (chronic total occlusion, 21%; TASC Ⅱ C/D, 35%) in 217 consecutive patients (74±8 years; male, 81%; diabetes mellitus, 47%; dialysis, 21%; critical limb ischemia, 29%) who had undergone endovascular therapy (EVT) with Epic self-expanding nitinol stents for PAD with AIOD were analyzed. Read More

J Endovasc Ther 2017 Dec 21;24(6):800-808. Epub 2017 Sep 21.

1 Department of Vascular Surgery, Rijnstate Hospital, Arnhem, the Netherlands.

Purpose: To investigate the effect of distal stenotic lesions on flow patterns near a covered endovascular reconstruction of the aortic bifurcation (CERAB) configuration used in the treatment of aortoiliac occlusive disease.

Method: Laser particle image velocimetry measurements were performed using in vitro models of the aortic bifurcation with and without a CERAB configuration in place. A hemodynamically nonsignificant stenosis (ΔP: 9 mm Hg), a hemodynamically significant (ΔP: 26 mm Hg) stenosis, and a total occlusion were simulated in the left iliac arteries. Read More

J Cardiovasc Surg (Torino) 2018 Feb 20;59(1):14-25. Epub 2017 Sep 20.

Department of Vascular Surgery, Maasstad Ziekenhuis, Rotterdam, The Netherlands.

Introduction: During the past decade, endovascular treatment has become the treatment of choice for all types of aortoiliac occlusive disease, including TASC C and D lesions. Patency rates, however, are still below those of open surgical techniques. One propagated technique to improve patency rates is the use of covered stents. Read More

Ann Vasc Surg 2018 Jan 8;46:207.e1-207.e3. Epub 2017 Sep 8.

Cleveland Clinic, Cleveland, OH. Electronic address:

Background: Endovascular repair of a proximal anastomotic pseudoaneurysm (APSA) of an end-to-side aortobifemoral bypass (ABF) can lead to pelvic ischemia. We present a novel application of branched aortic endograft to repair such pseudoaneurysm while preserving flow into the ABF and native aortoiliac system.

Methods: A 71-year-old male with history of aortoiliac occlusive disease resulting in lifestyle limiting claudication was treated with an aortobifemoral bypass in 1999. Read More