title: Outcome of ilio-popliteal grafting for peripheral arterial disease.
abstract: OBJECTIVE
  Assess outcomes of ilio-politeal grafting for complex ilio-femoral atherosclerotic disease.
  
  
  METHODS
  Retrospective review of patients undergoing iliopopliteal grafting between January 1998 and January 2007.
  
  
  METHODS
  Patients were identified from our unit database. Case notes and radiology were retrieved. Data were extracted and entered into the database for analysis.
  
  
  RESULTS
  19 grafts were undertaken in 19 patients. Primary graft patency was 45% at 1 year (95% CI, 22% - 68%). Secondary graft patency was 82.5% at one year (95% CI, 64% - 100%). 25 subsequent surgical and radiological interventions were undertaken in 12 patients. Lower limb amputation was rare; limb survival was 88% (95% CI, 72% - 100%) at one year and 73% (95% CI 44% - 100%) at 4 years.
  
  
  CONCLUSIONS
  Iliopopliteal grafts are rarely undertaken severe disease requiring their use is infrequently encountered. High mortality and low primary patency mean its use can only be advocated in exceptional circumstances.
authors.affiliation: Department of Vascular Surgery, Queen Elizabeth Hospital, Sheriff Hill, Gateshead, United Kingdom.
authors.forename: Iain J D
authors.initials: IJ
authors.lastname: McCallum
authors.forename: Ahmad
authors.initials: A
authors.lastname: Al Samaraee
authors.forename: James E
authors.initials: JE
authors.lastname: McCaslin
authors.forename: Hamdi
authors.initials: H
authors.lastname: Ashour
authors.forename: Ahmed
authors.initials: A
authors.lastname: Mudawi
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D050197:Atherosclerosis / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D005260:Female; D006801:Humans; D007083:Iliac Artery / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D016491:Peripheral Vascular Diseases / Q000601:surgery*; D011150:Popliteal Artery / Q000601:surgery*; D012189:Retrospective Studies; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods