title: Bifurcated endograft in aortoiliac type C and D lesions: long-term results.
abstract: OBJECTIVE
  To report long-term outcome when using a bifurcated aortic endograft for treatment of aortoiliac occlusive disease (AIOD) in Trans Atlantic Inter Society Consensus (TASC) classification C and D patients.
  
  
  METHODS
  Between May 2001 and May 2009, 14 patients (11 men, 3 women) with aortoiliac TASC C and D type lesions and a mean age of 59 years ± 10 (range 41-73 years) were treated using a bifurcated aortic endograft. Although these patients were young, all were considered at high surgical risk. Patients were followed up clinically and by computed tomography (CT) every 3 months for 1 year and yearly thereafter.
  
  
  RESULTS
  Endoprosthesis placement was performed in all patients with a technical success rate of 100%. There were no amputations or deaths at 30 days after the procedure. The mean follow-up was 62 months (range 11-96 months). One patient was lost during follow-up at 11 months, and another patient died of a nonrelated cause after 49 months. A single limb occlusion of the prosthesis was seen in two patients at 2 months and 7 months; both were successfully treated by intraarterial fibrinolysis. At a mean follow-up of 62 months, primary patency was 85.7%, and secondary patency was 100%.
  
  
  CONCLUSIONS
  This series shows promising long-term results following the use of a bifurcated aortic endograft for treatment of AIOD TASC C and D type lesions. Bifurcated aortic endograft is a good minimally invasive alternative to open surgery in high surgical risk patients.
authors.affiliation: Department of Endovascular Therapy, Hospital Hospiten Rambla, Rambla de Santa Cruz 115, 38001 Santa Cruz de Tenerife, Spain. tobiaszander@gmx.de
authors.forename: Tobias
authors.initials: T
authors.lastname: Zander
authors.forename: Oscar
authors.initials: O
authors.lastname: Blasco
authors.forename: Martin
authors.initials: M
authors.lastname: Rabellino
authors.forename: Sebastian
authors.initials: S
authors.lastname: Baldi
authors.forename: Elisabeth
authors.initials: E
authors.lastname: Sanabria
authors.forename: Rafael
authors.initials: R
authors.lastname: Llorens
authors.forename: Luis
authors.initials: L
authors.lastname: Garcia
authors.forename: Ignacio
authors.initials: I
authors.lastname: Zerolo
authors.forename: Manuel
authors.initials: M
authors.lastname: Maynar
mesh_terms: D000328:Adult; D000368:Aged; D000792:Angiography; D001018:Aortic Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D001157:Arterial Occlusive Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D005260:Female; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014654:Vascular Patency