Results of peripheral endovascular procedures in the operating room.
OBJECTIVE
This study presents the results of closed (percutaneous) and open endovascular procedures performed exclusively by vascular surgeons in the operating room and compares them with results from combined series from the literature, including primarily closed procedures in radiology or cardiology facilities.


METHODS
Retrospective review of 607 consecutive peripheral arterial and venous angioplasties, stents, thrombolytic cases, and inferior vena caval filters in 446 patients was analyzed for immediate success rate, complication rate, and 1-year life table patency rate.


RESULTS
The incidence of initial technical success was: aorta, 89%; iliac artery, 91%; superficial femoral artery, 90%; popliteal artery, 91%; tibial arteries, 79%; arm arteries and veins, 86%; renal arteries, 100%; IVC filters, 98%; and iliofemoral veins, 100%. The 1-year primary patency rates, including technical failures, were 70.3% in 113 femoropopliteal procedures and 83.7% in 194 iliac arteries. Advantages to the use of the operating room included: (1) simultaneous angioplasty during a bypass operation for abnormalities proximal or distal to the graft, (2) correction of lesions first discovered during thrombectomy, and (3) optimum patient monitoring and sedation in the operating room.


CONCLUSIONS
Endovascular procedures performed by vascular surgeons in the operating room lead to results comparable with procedures performed in nonsurgical interventional suites, and the use of the operating room has advantages.
Gross
G M
GM
Huntsville Hospital, AL, USA.
Johnson
R C
RC
Roberts
R M
RM
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D017130:Angioplasty; D000800:Angioplasty, Balloon; D002309:Cardiology; D005260:Female; D006757:Hospital Units; D006801:Humans; D007431:Intraoperative Complications; D015993:Life Tables; D008297:Male; D008875:Middle Aged; D009873:Operating Rooms; D011183:Postoperative Complications; D011677:Punctures; D015642:Radiology, Interventional; D012189:Retrospective Studies; D015607:Stents; D015912:Thrombolytic Therapy; D016896:Treatment Outcome; D014654:Vascular Patency; D014656:Vascular Surgical Procedures; D016306:Vena Cava Filters