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Ann Vasc Dis 2020 Jun;13(2):144-150

Department of Specialized Surgery, Tokyo Medical and Dental University, Tokyo, Japan.

Although aortofemoral bypass (AoFB) is the standard treatment for challenging aortoiliac occlusive disease (AIOD), less-invasive treatments, such as axillofemoral bypass (AxFB) or endovascular treatment (EVT) have been conducted for patients with severe comorbidities. In this study, we compared the clinical outcomes between AxFB and EVT for AIOD. We retrospectively reviewed 9 patients with AxFB and 10 with EVT for challenging AIOD. Read More

Surgeon 2020 Jun 2. Epub 2020 Jun 2.

Departement of Vascular Surgery, Barmherzige Brüder Hospital, Regensburg, Germany.

Purpose: To analyse the long-term outcome of open aortic procedures in patients with critical limb threatening ischemia.

Methods: Retrospective analysis of all patients with aortoiliac TransAtlantic Inter-Society Consensus II (TASC II), type D (TASC D) lesions extending to the femoral artery who underwent aortic bypass procedures for critical limb threatening ischemia (CLTI) or intermittent claudication (IC).

Results: Over a period of 10 years, 87 patients with IC and 45 patients with CLTI received a total of 56 aortounifemoral and 76 aorto-bi-femoral bypass procedures. Read More

Ann Vasc Surg 2020 May 29. Epub 2020 May 29.

Section of Vascular and Endovascular Surgery, Minneapolis Heart Institute @ Abbott Northwestern Hospital, Minneapolis, MN.

Background: The objective of this study was to compared outcomes of patients with aortoiliac occlusive disease (AIOD), limited to the common iliac artery, who underwent either aortoiliac thromboendarterectomy (AIE) or aortobiiliac bypass grafting (ABIB).

Methods: A single-center, retrospective analysis of consecutive patients with AIOD who underwent either AIE or ABIB between 2010 and 2019 from a prospective database. Patients with disease extending to the external iliac or common femoral arteries were excluded. Read More

Ann Vasc Surg 2020 May 20. Epub 2020 May 20.

Kaiser Permanente Los Angeles Medical Center, Department of Vascular Surgery, Los Angeles, CA.

Aortoiliac endarterectomy was the standard treatment for aortoiliac occlusive disease before the availability of prosthetic graft material for aortobifemoral bypass, although the number of patients appropriate for this repair continues to diminish in the endovascular era. Patients with focal aortoiliac disease are often treated with bilateral "kissing" iliac stents through an endovascular approach. However, in patients with eccentric plaque morphology or smaller caliber vessels, the risk of distal embolization and vessel rupture is not insignificant. Read More

Ann Vasc Surg 2020 May 16. Epub 2020 May 16.

Chinese Academy of Medical Sciences, Peking Union Medical College, National Center for Cardiovascular Disease, National Key Laboratory for Cardiovascular Disease, Fuwai Hospital, Vascular Surgery Center, Beijing, China.

Background: The endovascular approach has been widely used for aortoiliac occlusive disease (AIOD), especially for aortic bifurcation and iliac artery Trans-Atlantic Inter-Society Consensus II (TASC-II) A and B lesions. However, the outcomes of self-expanding covered stents (SECSs) for extensive aortoiliac lesion remain unclear. This study aimed to assess the short-term patency of kissing covered stents for the revascularization of aortoiliac TASC-II C and D diseases. Read More

J Clin Med 2020 May 10;9(5). Epub 2020 May 10.

Department of General Chemistry, Chair of Chemistry and Clinical Biochemistry, Poznan University of Medical Sciences, Rokietnicka 8, 60-806 Poznan, Poland.

Our study aimed to identify the relationship between advanced glycation end products (AGEs), soluble receptor for advanced glycation end products (sRAGE), the AGEs/sRAGE, and uric acid (UA) levels in selected atherosclerosis diseases, i.e., abdominal aortic aneurysms (AAA), aortoiliac occlusive disease (AIOD), and chronic kidney disease (CKD), resulting from apparent differences in oxidative stress intensity. Read More

Ann Vasc Surg 2020 Apr 25. Epub 2020 Apr 25.

Department of Thoracic and Vascular Surgery, Vascular Center, Skåne University Hospital, Malmö, Sweden; Department of Clinical Sciences Malmö, Lund University, Malmö, Sweden.

Background: Abdominal aortic aneurysm is associated with an increased mortality, mostly cardiovascular events. Moreover, aortoiliac calcification is associated with increased mortality in patients with peripheral occlusive disease. The aim of this study is to assess the potential association between iliofemoral calcification, assessed by calcium score, in patients undergoing infrarenal (endovascular aneurysm repair [EVAR]) or fenestrated endovascular aortic repair (FEVAR) and long-term mortality, particularly caused by cardiac events. Read More

J Endovasc Ther 2020 Apr 24:1526602820920569. Epub 2020 Apr 24.

Auckland University School of Medicine, Auckland, New Zealand.

Purpose: To assess the midterm safety and effectiveness of the Gore Viabahn Balloon-Expandable Endoprosthesis (VBX Stent-Graft) in the treatment of patients with de novo or restenotic aortoiliac lesions.

Materials And Methods: The prospective, multicenter, nonrandomized, single-arm VBX FLEX clinical study ( ClinicalTrials.gov identifier: NCT02080871) evaluated 134 patients (mean age 66±9. Read More

Ann Thorac Cardiovasc Surg 2020 Apr 22. Epub 2020 Apr 22.

Department of Specialized Surgery, Tokyo Medical and Dental University, Tokyo, Japan.

Purpose: We evaluated the clinical outcomes of aortofemoral bypass (AoFB) and axillofemoral bypass (AxFB) surgeries for complex aortoiliac occlusive disease (AIOD) and compared them from the perspectives of safety and efficacy.

Methods: We retrospectively reviewed 21 patients with AoFB grafting and 9 patients with AxFB grafting. The demographic information of the patients was examined, and the intra-, peri-, and postoperative results as well as long-term outcomes were evaluated. Read More

J Surg Res 2020 Aug 15;252:255-263. Epub 2020 Apr 15.

Division of Vascular and Endovascular Surgery, Department of Surgery, University of California San Diego, La Jolla, California. Electronic address:

Background: The impact of race and gender on surgical outcomes has been studied in infrainguinal revascularization for peripheral arterial disease. The aim of this study is to explore how race and gender affect the outcomes of suprainguinal bypass (SIB) for aortoiliac occlusive disease.

Materials And Methods: Patients who underwent SIB were identified from the procedure-targeted National Surgical Quality Improvement Program data set (2011-2016). Read More

J Vasc Surg 2020 Apr 10. Epub 2020 Apr 10.

Division of Vascular and Endovascular Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Mass. Electronic address:

Background: Despite endovascular advancements, aortofemoral bypass (AFB; aortounifemoral and aortobifemoral bypass) remains the most durable option for aortoiliac occlusive disease. Whereas AFB reduces vascular aortoiliac reintervention, the impact of laparotomy-associated and groin wound complications on morbidity and reintervention is unclear. The aim of this study was to establish the incidence of nonvascular complications after AFB and to determine their effect on reintervention. Read More

Sci Rep 2020 Apr 10;10(1):6245. Epub 2020 Apr 10.

Atherosclerosis Prevention Unit, Centro Cardiologico Monzino, IRCCS, 20138, Milan, Italy.

Perivascular adipose tissue (PVAT) helps regulate arterial homeostasis and plays a role in the pathogenesis of large vessel diseases. In this study, we investigated whether the PVAT of aortic occlusive lesions shows specific gene-expression patterns related to pathophysiology. By a genome-wide approach, we investigated the PVAT transcriptome in patients with aortoiliac occlusive disease. Read More

Ann Vasc Surg 2020 Mar 24. Epub 2020 Mar 24.

Division of Vascular Surgery, New York University Langone Health, New York, NY. Electronic address:

Background: Active inflammatory bowel disease (IBD) is associated with considerable risk for thromboembolism; however, arterial thromboembolism is rare and associated with considerable morbidity and mortality. Their management requires careful coordination between multiple providers, and as a consequence, much of the published literature is limited to case reports published across specialties.

Methods: We examined our recent institutional experience with aortoiliac, mesenteric, and peripheral arterial thromboembolisms in patients with either Crohn's disease or ulcerative colitis. Read More

J Cardiothorac Vasc Anesth 2020 Feb 19. Epub 2020 Feb 19.

Department of Surgery, Division of Vascular and Endovascular Surgery, University of California San Diego, La Jolla, CA; Department of Medicine, Division of Biomedical Informatics, University of California San Diego, La Jolla, CA.

Objectives: Few studies have evaluated the association between anesthesia type and outcomes after endovascular angioplasty/stents for aortoiliac occlusive disease. The aim of the present study was to evaluate the association between primary anesthesia type and postprocedural complications for endovascular angioplasty of aortoiliac occlusion.

Design: Retrospective cohort study. Read More

J Vasc Surg 2020 Mar 11. Epub 2020 Mar 11.

Black Country Vascular Network, Dudley, United Kingdom.

Objective: There is a paucity of good-quality evidence comparing direct surgical (DS) with endovascular/hybrid (EVH) revascularization for aortoiliac occlusive disease (AIOD). We aimed to perform a meta-analysis of studies comparing DS and EVH revascularization for AIOD.

Methods: PubMed, Ovid MEDLINE, Cochrane, and Embase databases were searched for studies comparing DS and EVH revascularization for AIOD from 2000 to 2018. Read More

Psychiatr Danub 2019 Dec;31(Suppl 5):814-820

Department for Vascular and Interventional Radiology, Clinic for Radiology, Clinical Center University of Sarajevo, Bolnička 25, 71000 Sarajevo, Bosnia and Herzegovina,

Background: Critical limb ischemia (CLI) represents the end stage of peripheral arterial disease (PAD). It is defined as a chronic ischemic rest pain, ulcers or gangrene, attributable to proven arterial occlusive disease. Intra-arterial digital subtraction angiography (IA DSA) still represents the gold standard for the evaluation of steno-occlusive lesions, but it has greatly been replaced with non-invasive multi-detector computed tomography angiography (MDCTA). Read More

Interv Cardiol Clin 2020 04;9(2):187-196

John Cochran VA Medical Center, Section 2B Cardiology, 915 N. Grand Boulevard, St Louis, MO 63106, USA.

Endovascular revascularization for aortoiliac occlusive disease (AIOD) is now considered first-line therapy for patients with claudication and critical limb ischemia and in asymptomatic patients in whom large-bore access is required (eg, mechanical circulatory support or transcatheter aortic valve replacement). The authors review the data supporting endovascular therapy for AIOD, indications and contraindications for AIOD revascularization, as well as the procedural techniques required to safely perform endovascular therapy in this vascular bed. They review prevention and management of the major complications that can occur during these procedures. Read More

Curr Med Imaging Rev 2019 ;15(5):496-503

Department of Radiology, Tongji Medical College, Huazhong University of Science and Technology, Union Hospital, Wuhan, 430030, China.

Background: CT Angiography (CTA) of aortoiliac and lower extremity arteries is a relatively recent innovation of CT imaging that has changed after the introduction of multi-detector row scanners.

Objective: The study aimed to evaluate the diagnostic accuracy of Multidetector Computed Tomographic Angiography (MDCTA) in the assessment of arterial tree in patients with Peripheral Arterial Occlusive Disease (PAOD), as compared to Digital Subtraction Angiography (DSA).

Methods: A single-center nonrandomized prospective study was conducted on 50 patients complaining of peripheral arterial disease (chronic stage) from February 2017 to October 2017. Read More

Ann Vasc Surg 2020 May 28;65:45-53. Epub 2020 Jan 28.

Department of Radiology, Section of Vascular and Interventional Radiology, Linda University School of Medicine, Loma Linda, CA.

Background: Endovascular treatment of Trans-Atlantic Inter-Society Consensus (TASC) II D aortoiliac lesions is now an accepted form of revascularization. We sought to demonstrate that native microchannel recanalization and orbital atherectomy is a successful recanalization method of TASC II D aortoiliac lesions refractory to standard recanalization techniques.

Methods: Four consecutive patients from 2016 to 2018 with symptomatic TASC II D aortoiliac occlusive disease prohibitive for open bypass and failed traditional prodding guidewire or device recanalization technique were identified and underwent advanced native microchannel selection and subsequent orbital atherectomy (Cardiovascular Systems, Inc, St Paul, MN). Read More

J Vasc Surg 2020 Jan 18. Epub 2020 Jan 18.

Peter Munk Cardiac Centre, University Health Network, University of Toronto, Toronto, Ontario, Canada.

Objective: To evaluate clinical outcomes from a postmarket registry of the Zenith Spiral-Z abdominal aortic aneurysm iliac leg graft with a continuous, spiral nitinol stent that was designed for improved conformability, kink, and migration resistance.

Methods: This prospective, multicenter registry was designed to evaluate physician-reported outcomes of the Spiral-Z leg graft in up to 600 patients who underwent endovascular repair of abdominal aortic or aortoiliac aneurysms at up to 30 investigative sites in the United States and Canada. Study outcomes were focused on iliac limb occlusion, limb-related reintervention, limb-related endoleak, component separation, and device integrity. Read More

BMC Cardiovasc Disord 2020 Jan 17;20(1):26. Epub 2020 Jan 17.

State Key Laboratory of Cardiovascular Disease, Center for Pulmonary Vascular Diseases, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, No. 167 Beilishi Rd, Xicheng District, Beijing, 100037, People's Republic of China.

Background: Both acute myocardial infarction and acute pulmonary embolism are distinct medical urgencies while they may conincide. Leriche's syndrome is a relatively rare aortoiliac occlusive disease characterized by claudication, decreased femoral pulses, and impotence. We present the first case of concomitant acute pulmonary embolism, acute myocardial infarction, and Leriche syndrome. Read More

Vasc Specialist Int 2019 Dec 31;35(4):184-188. Epub 2019 Dec 31.

Department of Surgery, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, Seoul, Korea.

A variety of diseases are known to develop in the aortoiliac segment; these include abdominal aortic aneurysm (AAA) and aortoiliac occlusive disease. This review summarizes several differences of aortoiliac diseases between eastern and western populations. The prevalence of AAA was higher in western countries (4. Read More

Vascular 2020 Jun 2;28(3):225-232. Epub 2020 Jan 2.

Department of Surgery, Rijnstate, Arnhem and the Multi-Modality Medical Imaging Group, University of Twente, Enschede, The Netherlands.

Objective: The covered endovascular reconstruction of the aortic bifurcation (CERAB) technique was introduced in 2009 in order to provide an anatomically and physiologically optimal endovascular reconstruction of the aortic bifurcation.

Method: In the current review, all available evidence on this technique was summarized.

Results: In vitro studies have shown a more favorable geometry of CERAB compared to kissing stents, leading to better local flow conditions. Read More

Ann Thorac Cardiovasc Surg 2019 Dec 6. Epub 2019 Dec 6.

Department of Pediatric Cardiology, University National Heart Hospital, Sofia, Bulgaria.

Bilateral aorto-profunda femoris bypass with Dacron bifurcation graft was performed by a patient with aortoiliac occlusive disease (AIOD) and horseshoe kidney (HSK) who had undergone stenting of the right common iliac artery and of the left superficial femoral artery with subsequent stent thrombosis as well as significant subrenal aortic stenosis. As endovascular treatment was not feasible and surgical treatment by means of transperitoneal incision would be associated with high risk of damage to the HSK, the operation was successfully accomplished through left pararectal retroperitoneal approach. Read More

Asian J Urol 2019 Oct 17;6(4):377-379. Epub 2018 May 17.

Changi General Hospital Ringgold Standard Institution, Singapore.

Endovascular treatment is increasingly employed as the treatment for symptomatic aortoiliac occlusive disease. One of the possible complications of aortoiliac stenting is the development of emboli. We present a case of a 60-year-old patient presenting with right scrotal pain immediately following aortoiliac stenting for right common iliac, proximal external iliac and proximal internal iliac arteries thrombosis. Read More

Vasc Endovascular Surg 2020 Feb 20;54(2):102-110. Epub 2019 Nov 20.

EPIUnit, Instituto de Saúde Pública da Universidade do Porto (ISPUP), Universidade do Porto, Porto, Portugal.

Objective: Compare technical, clinical, and economic outcomes between endovascular and open approaches in patients with type D aortoiliac occlusive disease according to the TransAtlantic Inter-Society Consensus.

Methods: Patients undergoing revascularization for type D aortoiliac lesions, either endovascular or open surgery approach, from 2 Portuguese institutions between January 2011 and October 2017 were included. The surgical technique was left to the surgeon discretion. Read More

J Vasc Surg 2020 Jun 11;71(6):2021-2028.e1. Epub 2019 Nov 11.

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

Objective: Severe aortoiliac occlusive disease is a relative contraindication for endovascular aneurysm repair, owing to an association with high stent graft-related complication and reintervention rates in this population. Open AAA repair requiring aortofemoral bypass (AFB), however, may represent a unique population with differing outcomes from standard open repair. We sought to compare the demographic and procedural characteristics, as well as outcomes of patients undergoing standard intra-abdominal repairs (STD) versus those requiring AFB. Read More

Asian Cardiovasc Thorac Ann 2020 Feb 21;28(2):108-111. Epub 2019 Oct 21.

Faculty of Medicine Tunis, University El Manar, Tunis, Tunisia.

J Vasc Surg 2020 Apr 10;71(4):1315-1321. Epub 2019 Sep 10.

Division of Vascular Surgery and Endovascular Therapy, Michael E. DeBakey Department of Surgery, Baylor College of Medicine / Michael E. DeBakey Veterans Affairs Medical Center, Houston, Tex. Electronic address:

Objective: Bypass graft preservation with wound sterilization using serial antibiotic bead exchange has been described in patients presenting with deep wound infections after extremity bypass. The long-term benefits of this approach remain poorly understood. We examined whether graft preservation and wound sterilization with antibiotic beads affect amputation rates and patient survival. Read More

Catheter Cardiovasc Interv 2020 Feb 2;95(3):457-461. Epub 2019 Sep 2.

Sanford Health Heart and Vascular Center, Bemidji, Minnesota.

The incidence of focal infrarenal stenosis of the aorta is rare. Endovascular therapy has evolved as a first-line treatment of aortoiliac occlusive disease and has been shown to substantially improve health-related quality of life. The 8 French sheath compatible, GORE VIABAHN VBX (GORE Flagstaff, AZ) balloon expandable covered stent offers the traditional benefits of a balloon expandable covered stent with a design that improves on flexibility. Read More

J Endovasc Ther 2019 10 30;26(5):633-636. Epub 2019 Aug 30.

Department of Vascular Surgery, Ludwig-Maximilians-University Hospital Munich, Germany.

Eur J Vasc Endovasc Surg 2019 Oct 19;58(4):529-537. Epub 2019 Aug 19.

Division of Vascular Surgery, University of Pittsburgh Medical Centre, Pittsburgh, PA, USA. Electronic address:

Objective: The choice for surgical revascularisation for aortoiliac occlusive disease is often tempered by patient comorbidities. This study compares peri-operative outcomes and the association between choice of operation and one year major adverse limb event (MALE) free survival and five year mortality.

Methods: The Vascular Study Group of New England (VSGNE) dataset for supra-inguinal bypass operations from 2009 to 2015 was queried. Read More

Ann Vasc Surg 2019 Nov 6;61:65-71.e3. Epub 2019 Aug 6.

Division of Vascular Surgery & Endovascular Therapy, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX. Electronic address:

Background: Endovascular management of complex aortoiliac occlusive disease (AIOD) has been described as a viable alternative to open surgical reconstruction. To date, few studies have directly compared the 2 techniques. We therefore, evaluated short and mid- term outcomes of open and endovascular therapy in TASC II D AIOD patients. Read More

Hernia 2019 Aug 2. Epub 2019 Aug 2.

Division of Vascular Surgery, Department of Surgery, University of Maryland School of Medicine, 22 South Greene Street, S8B02, Baltimore, MD, 21201, USA.

Purpose: Incisional hernias complicate 12-15% of general surgery cases with higher rates reported after laparotomy for aortoiliac occlusive disease (10-17%) and aneurysmal disease (17-38%). We hypothesize that inadequate perfusion of the abdominal wall promotes future hernia development.

Methods: Thirty-eight patients undergoing midline laparotomy or thoracoabdominal approach for aortic disease with at least 2 years of follow-up were included in the study. Read More

J Vasc Bras 2019 Jun 19;18:e20180083. Epub 2019 Jun 19.

Hospital Municipal Carmino Caricchio - HMCC, Departamento de Cirurgia Vascular, São Paulo, SP, Brasil.

Over recent decades, there has been a considerable increase in use of endovascular methods to treat aortoiliac occlusive disease. It has been demonstrated that this approach offers many benefits, primarily for non-complex arterial lesions of the iliac axis, but difficulties persist with achieving adequate results over the medium and long term when treating extensive occlusive disease. Arterial bypasses to alternative vicarious arteries of the femoral-genicular complex for limb salvage are well known in the literature describing cases that are not favorable for conventional or endovascular surgery. Read More

J Endovasc Ther 2019 10 22;26(5):623-632. Epub 2019 Jul 22.

Vascular Surgery, Department of Cardiothoracic and Vascular Surgery, Careggi University Teaching Hospital, University of Florence School of Medicine, Florence, Italy.

To report the results of endovascular treatment of iliac and complex aortoiliac occlusive disease (AIOD) in a multicenter Italian registry. A retrospective, multicenter, observational cohort study analyzed 713 patients (mean age 68±10 years; 539 men) with isolated iliac and complex aortoiliac lesions treated with primary stenting between January 2015 and December 2017. Indications for treatment were claudication in 406 (57%) patients and critical limb ischemia in 307 (43%). Read More

BMJ Case Rep 2019 Jul 15;12(7). Epub 2019 Jul 15.

General Medicine, Clinica Nueva, Bogotá, Colombia.

Vascular 2020 Feb 4;28(1):68-73. Epub 2019 Jul 4.

Department of Vascular Surgery, St. Franziskus Hospital Münster, Münster, Germany.

Vascular 2019 Dec 27;27(6):677-683. Epub 2019 Jun 27.

Department of Anatomy, Medical School of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece.

Ann Vasc Surg 2020 Jan 13;62:21-29. Epub 2019 Jun 13.

Division of Vascular and Endovascular Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA. Electronic address:

Background: Endovascular therapy is first-line treatment for aortoiliac occlusive disease. This shift has altered case volume, patient selection, and risk profile for aortobifemoral bypass (ABF). Given this, we sought to investigate factors influencing morbidity and mortality after ABF in the endovascular era. Read More

J Vasc Surg Cases Innov Tech 2019 Jun 25;5(2):179-182. Epub 2019 May 25.

Section of Vascular and Endovascular Surgery, Department of Surgery, Yale University School of Medicine, New Haven, Conn.

Femoral endarterectomy with iliac stenting is a safe and effective minimally invasive alternative to aortobifemoral bypass. However, TransAtlantic Inter-Society Consensus D lesions with contiguous iliofemoral occlusion are challenging cases for hybrid repair. Herein, we present a unique approach for iliofemoral revascularization by on-table modification of self-expanding covered stents. Read More

Case Rep Surg 2019 17;2019:4027460. Epub 2019 Apr 17.

Oulu University Hospital, Oulu, Finland.

Aortoiliac occlusive disease presents itself more frequently as chronic claudication, erectile dysfunction, and absent femoral pulses. Its acute manifestation is less frequently encountered in a clinical practice; hence, it presents sometimes as a diagnostic challenge. We illustrate a case of acute aortoiliac occlusive disease presenting with spinal cord ischemia and gluteal and scrotal necroses, which was initially diagnosed and treated as spinal cord compression. Read More

J Med Biochem 2019 Jul 11;38(3):268-275. Epub 2019 May 11.

Department of Medical Biochemistry, Faculty of Pharmacy, University of Belgrade, Belgrade, Serbia.

Background: Cathepsin S (CTSS) is a cysteine protease involved in atherogenesis. We compared the plasma CTSS as well as other biomarkers of atherosclerosis in patients with abdominal aortic aneurysms (AAA) and aortoiliac occlusive disease (AOD), aiming to identify the underlying pathogenic mechanisms of the disease development. Also, we hypothesised that the level of plasma CTSS simultaneously increases with a decrease of plasma high-density lipoprotein cholesterol (HDL-C) values. Read More

AJR Am J Roentgenol 2019 09 23;213(3):696-701. Epub 2019 May 23.

Department of Radiology, Section of Interventional Radiology, Loma Linda School of Medicine, Loma Linda, CA.

The purpose of this study is to compare the clinical and safety outcomes between two groups of patients with Trans-Atlantic Inter-Society Consensus class D (TASC II D) aortoiliac occlusive disease (AIOD): those with higher-risk comorbidity who underwent endovascular reconstruction and those with lower-risk comorbidity who underwent surgical bypass. Thirty-two consecutive patients with symptomatic TASC II D AOID who underwent surgical bypass or endovascular reconstruction from 2012 to 2017 were retrospectively reviewed. Lesion characteristics, technical approach, survival, limb salvage, patency, and change in clinical symptoms were analyzed. Read More

Ann Vasc Surg 2020 Jan 7;62:232-237. Epub 2019 May 7.

Division of Vascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea. Electronic address:

Background: Open surgery of abdominal aortic aneurysm (AAA) or aortoiliac occlusive disease (AIOD) sometimes requires left renal vein division (LRVD) to gain adequate exposure of the abdominal aorta. The aim of this study is to evaluate the effect of LRVD on the postoperative renal function using propensity score matching (PSM).

Methods: From July 1996 to January 2018, we retrospectively reviewed 698 patients who underwent open aortic surgery, including 543 AAAs and 155 AIODs, at a single institution. Read More

J Atheroscler Thromb 2019 Nov 16;26(11):989-996. Epub 2019 Apr 16.

Cardiovascular Center, Kansai Rosai Hospital.

Aim: Although current guidelines recommend surgical revascularization as the first-line therapy for chronic total occlusion of the abdominal aorta (Leriche syndrome), endovascular therapy (EVT) has been increasingly utilized because of the development of new technologies and techniques. EVT has demonstrated durable midterm outcomes for aortoiliac occlusive disease (AIOD). Nonetheless, little is known regarding their long-term outcomes and predictors of restenosis. Read More

Surgery 2019 08 6;166(2):198-202. Epub 2019 Apr 6.

Albert Einstein College of Medicine, Bronx, NY; Division of Vascular Surgery, Montefiore Medical Center, Bronx, NY. Electronic address:

Background: Peripheral arterial occlusive disease constitutes a substantial portion of clinical practice in vascular surgery and, as such, trainees must graduate with proficiency in endovascular and open procedures to become capable vascular surgeons. Case volume for 0+5 integrated vascular surgery residents in the chief and junior years was compared with their 5+2 fellowship counterparts for the treatment of peripheral arterial occlusive disease.

Methods: In this retrospective review, operative volume for peripheral arterial occlusive disease cases in both vascular training paradigms was evaluated. Read More

BMJ Case Rep 2019 Mar 31;12(3). Epub 2019 Mar 31.

Department of Cardiovascular Center, Showa University Koto-Toyosu Hospital, Tokyo, Japan.

Aortoiliac bypass surgery is the gold standard strategy for removing persistent ischaemia resulting from bilateral aortoiliac occlusive disease, a condition known as Leriche syndrome. However, the impact of aortoiliac bypass surgery on the blood flow of the renal artery is not fully understood. Here, we report a case of worsening renal failure caused by renal steal immediately after aortoiliac bypass for Leriche syndrome. Read More