Single-incision external iliac artery endarterectomy and patch angioplasty.
An isolated external iliac artery chronic total occlusion is currently treated either with subintimal percutaneous transluminal angioplasty and stent or with a bypass. This article describes a new application of an old technique, endarterectomy and patch angioplasty, performed on the external iliac artery through a single flank incision. This novel approach can provide lasting patency with a low risk of complications. We present four cases and a review of the literature on the other available treatment options. This minimally invasive technique may provide a viable alternative that can be used alone or in combination with other open or endovascular techniques and can be applied in cases of groin sepsis.
VA Boston Healthcare System, Surgical Service, West Roxbury, MA 02132, USA. james.ebaugh2@med.va.gov
James L
JL
Ebaugh
Naren
N
Gupta
Joseph D
JD
Raffetto
D017130:Angioplasty / Q000009:adverse effects; D001157:Arterial Occlusive Diseases / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery / Q000628:therapy*; D003131:Combined Modality Therapy; D003251:Constriction, Pathologic; D004691:Endarterectomy / Q000009:adverse effects; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D011859:Radiography; D016896:Treatment Outcome; D014654:Vascular Patency