title: Remote endarterectomy: an alternative to surgical bypass.
abstract: We present our preliminary results of remote endarterectomy performed during June 2003 to June 2010. 8 cases of unilateral ileofemoral disease, 3 cases of bilateral ileofemoral disease and 4 cases of femoro-popliteal disease constituting 18 limbs were successfully operated. All patients had comorbid conditions like Diabetes mellitus, hypertension, cardiac disease and smoking. Patency at 3 months with loss of one patient for follow up was 100 %. At one year follow up, the overall success rate was 90.90 %. One patient with Iliofemoral Endarterectomy had progression of the disease and hence had to undergo Aorto-Femoral bypass. All patients who had tissue loss, showed complete recovery by 3 months and one patient was lost to follow up. A 5 year follow up had a patency rate of 74 %. Remote endarterectomy is a viable and durable alternative to standard bypass procedures. Remote endarterectomy combines the advantages of minimally invasive surgery with endovascular techniques.
authors.affiliation: Department of Vascular Surgery, M.S. Ramaiah Medical College and Hospitals, MSR Nagar, MSRIT Post, Bengaluru-560054 Karnataka, India.
authors.forename: A R
authors.initials: AR
authors.lastname: Chandrashekar
authors.affiliation: Department of Vascular Surgery, M.S. Ramaiah Medical College and Hospitals, MSR Nagar, MSRIT Post, Bengaluru-560054 Karnataka, India.
authors.forename: Rajendra
authors.initials: R
authors.lastname: Prasad B
authors.affiliation: Department of Vascular Surgery, M.S. Ramaiah Medical College and Hospitals, MSR Nagar, MSRIT Post, Bengaluru-560054 Karnataka, India.
authors.forename: Sanjay C
authors.initials: SC
authors.lastname: Desai
authors.affiliation: Department of General Surgery, M.S. Ramaiah Medical College and Hospitals, MSR Nagar, MSRIT Post, Bengaluru-560054 Karnataka, India.
authors.forename: A H
authors.initials: AH
authors.lastname: Harsha
keywords: Femoro popliteal disease; Ileofemoral disease; Moll’s ring cutter; Remote endarterectomy