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- 저자 : Sherif Sultan (검색결과 1 건)
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Outcomes of Unibody Bifurcated Endograft and Aortobifemoral Bypass for Aortoiliac Occlusive Disease
Baker Ghoneim,Mohamed Elsherif,Mohamed Elsharkawi,Yogesh Acharya,Niamh Hynes,Wael Tawfick,Sherif Sultan 대한혈관외과학회 2020 Vascular Specialist International Vol.36 No.4
Purpose: We compared the outcomes between the total endovascular approach usinga unibody bifurcated aortoiliac endograft and the gold standard aortobifemoralbypass (ABF) surgery for the management of extensive aortoiliac occlusive disease(AIOD). Materials and Methods: This retrospective observational study compared the outcomesof endovascular technique with unibody bifurcated endograft (UBE) usingthe Endologix AFX unibody stent-graft and a standard surgical approach (ABF) inthe management of AIOD based on patient records in Western Vascular Institute,Galway University Hospital, National University of Ireland. Procedural details andoutcomes were documented to compare both groups. Results: From January 2002 to December 2018, 67 patients underwent AIOD (20UBE and 47 ABF). Both the ABF and UBE groups showed 100% immediate clinicaland technical successes without 30-day mortality. There were no statisticaldifferences in the overall survival and sustained clinical improvement betweenthe bypass and the UBE groups; however, statistically significant differences wereobserved in 3-year freedom from re-intervention and amputation-free survival. Furthermore, the mean length of the intensive care unit (ICU) stay was significantlylower in the UBE group than that in the ABF group (0.75 days vs. 3.1 days,P=0.001). Conclusion: Total endovascular reconstruction of AIOD is an alternative to invasivebypass procedures, with a shorter ICU stay.
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