نتائج العلاج المشترك (جراحة و توسيع)‎ للداء الانسدادي الحرقفي الفخذي

Abstract EN

Objective : To study the clinical features of iliofemoral occlusive disease, and analyze the outcomes of combined procedures, and compare our results with the other studies.

Methods : A prospective study of iliofemoral occlusive disease patients, treated by combined procedures (endovascular for iliac and above-knee femoropopliteal bypass for femoral),between 2010 and 2014.

Results : The medical files of 30 patients (28 men and 2 women, median age years 62.5 years) with iliofemoral occlusive disease were reviewed.

Indications for combined procedures were disabling claudication (19 %) and limb salvage (81 %).

Pretreatment ankle/brachial index (ABI) was 0-0.51 and improved by a mean value of 0.52 after treatment.

The cumulative 2-years patency rates of iliac stent and femoropopliteal bypass grafts were 78.93 % and 82.54 % respectively.

Multivariate analysis for femoropopliteal bypass patency indicated that inflow disease was the most important predictor of decreased patency (p = 0.0007).

Limb salvage at 2 years was 85 %.

The absence of crural arteries was the most important predictor of limb loss (p = 0.002).

Conclusions : Combined procedures provided to be an effective management of iliofemoral occlusive disease, and reduce operative risk.

Inflow diseases is the most important predictor of combined procedures’s outcome, so it is better to follow up and treat any disease that may develop.