[Iliac endarterectomy for widespread obliteration. 10 years follow-up of 200 operations (author's transl)].
Results of 200 iliac endarterectomies performed in 174 atheromatous patients were as follows: 15% mortality, 97% immediate good results, patency in 86% after 5 and 83.5% after 10 years. Five year survival was 62%. Contralateral atheroma progression was not marked, operation was required at an early stage in 5% and secondarily in 10% of cases. Results depend mainly on the operative technique employed, which is discussed. Mortality is lower after endarterectomy than when bifemoral-aortic prostheses are inserted, because of the reduced risk of infection and better respiratory tolerance of the retroperitoneal approach. This method should, therefore, be given preference whenever possible.
D000368:Aged; D001012:Aorta, Abdominal / Q000601:surgery; D001161:Arteriosclerosis / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D004691:Endarterectomy / Q000379:methods* / Q000401:mortality; D005260:Female; D005263:Femoral Artery / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D007083:Iliac Artery / Q000601:surgery*; D008297:Male; D008875:Middle Aged
L'endartériectomie pour traitement d'oblitérations iliaques étendues a propose de 200 interventions suivies avec un recul de l à 10 ans.