Outcome of ilio-popliteal grafting for peripheral arterial disease.
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.
McCallum
Iain J D
IJ
Department of Vascular Surgery, Queen Elizabeth Hospital, Sheriff Hill, Gateshead, United Kingdom.
Al Samaraee
Ahmad
A
McCaslin
James E
JE
Ashour
Hamdi
H
Mudawi
Ahmed
A
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