Abdominal aortic aneurysm and lower-limb occlusive arterial disease.
BACKGROUND
Abdominal aortic aneurysms (AAA) are associated with lower-limb occlusive arterial disease (LLOAD) in 20-40% of patients. Retrospective analysis of 200 elective AAA repairs and comparison with literature data revealed that LLOAD has little influence on standard therapeutic management of AAA.


METHODS
In this study, only 2.5% of the patients required femoropopliteal bypass along with aneurysm repair. In contrast, aneurysm repair was associated with lumbar sympathectomy in 30% of cases owing to existence of peripheral arterial disease.


RESULTS
Concurrent LLOAD did not significantly increase the operative mortality of AAA, but postoperative peripheral arterial complications were more frequent in patients with both aneurysmal and occlusive disease.


CONCLUSIONS
Although concomitant LLOAD did not adversely affect the long-term survival of patients who underwent surgical repair of AAA, this subgroup of patients was at higher risk of aggravation of their lower extremity arterial lesions.
Hassen-Khodja
R
R
Department of Vascular Surgery, Centre Hospitalier Universitaire de Nice, Hôpital Saint-Roch, France.
Le Bas
P
P
Pittaluga
P
P
Batt
M
M
Declemy
S
S
Bariseel
H
H
D000368:Aged; D000369:Aged, 80 and over; D000714:Anastomosis, Surgical; D017130:Angioplasty; D001012:Aorta, Abdominal / Q000601:surgery; D017544:Aortic Aneurysm, Abdominal / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D001157:Arterial Occlusive Diseases / Q000150:complications* / Q000401:mortality / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation; D005260:Female; D005263:Femoral Artery / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D007083:Iliac Artery / Q000601:surgery; D007866:Leg / Q000098:blood supply*; D008297:Male; D008875:Middle Aged; D016491:Peripheral Vascular Diseases / Q000150:complications* / Q000401:mortality / Q000601:surgery; D011150:Popliteal Artery / Q000601:surgery; D011859:Radiography; D012189:Retrospective Studies; D015996:Survival Rate; D013562:Sympathectomy