Extensive aorto-ilio-femoral endarterectomy with LeVeen plaque cracker.
The authors present a series of 98 patients, who underwent an aorto-ilio-femoral endarterectomy according to the technique of LeVeen. The operative mortality was 1% with an adjusted early patency rate of 99%. For a total of 52 documented cases, erectile function was lost in 25%. Ejaculatory disorders were seen in 35 patients. With a mean follow-up period of 22 months (range 1 to 60 months) there were no occlusions in the aortoiliac group. Patency in the aortofemoral group decreased to 92.5% after 4 years. It is concluded that the results support continued use of the reported technique. A longer period of follow-up however is recommended to define its exact role in reconstructive surgery for aortoiliac occlusive disease.
Department of Cardiovascular Surgery, University Clinic St. Rafaël-Gasthuisberg, Leuven, Belgium.
A
A
Nevelsteen
C
C
Boeckxstaens
G
G
Smet
F G
FG
Willekens
R
R
Suy
D001012:Aorta, Abdominal / Q000601:surgery; D001018:Aortic Diseases / Q000601:surgery*; D001161:Arteriosclerosis / Q000601:surgery*; D004691:Endarterectomy / Q000295:instrumentation*; D007172:Erectile Dysfunction / Q000209:etiology; D005260:Female; D005263:Femoral Artery / Q000601:surgery*; D006801:Humans; D007083:Iliac Artery / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010410:Penile Erection; D011183:Postoperative Complications / Q000209:etiology; D013525:Surgical Instruments; D014654:Vascular Patency