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dc.contributor.authorElkassaby, Mohammed
dc.contributor.authorAlawy, Mahmoud
dc.contributor.authorAli, Mohamed Zaki
dc.contributor.authorTawfick, Wael A.
dc.contributor.authorSultan, Sherif
dc.date.accessioned2018-09-20T16:07:13Z
dc.date.available2018-09-20T16:07:13Z
dc.date.issued2015-01-01
dc.identifier.citationElkassaby, Mohammed; Alawy, Mahmoud; Ali, Mohamed Zaki; Tawfick, Wael A. Sultan, Sherif (2015). Aorto-uni-iliac stent grafts with and without crossover femorofemoral bypass for treatment of abdominal aortic aneurysms: a parallel observational comparative study. International Journal of Vascular Medicine ,
dc.identifier.issn2090-2824,2090-2832
dc.identifier.urihttp://hdl.handle.net/10379/11348
dc.description.abstractWe investigated the safety and efficacy of primary aorto-uni-iliac (AUI) endovascular aortic repair (EVAR) without fem-fem crossover in patients with abdominal aortic aneurysm (AAA) and concomitant aortoiliac occlusive disease. 537 EVARs were implemented between 2002 and 2015 in University Hospital Galway, a tertiary referral center for aortic surgery and EVAR. We executed a parallel observational comparative study between 34 patients with AUI with femorofemoral crossover (group A) and six patients treated with AUI but without the crossover (group B). Group B patients presented with infrarenal AAAs with associated total occlusion of one iliac axis and high comorbidities. Technical success was 97% (n = 33) in group A and 85% (n = 5) in group B (P = 0.31). Primary and assisted clinical success at 24 months were 88% (n = 30) and 12% (n = 4), respectively, in group A, and 85% (n = 5) and 15% (n = 1), respectively, in group B (P = 0.125). Reintervention rate was 10% (n = 3) in group A and 0% in group B (P = 0.084). No incidence of postoperative critical lower limb ischemia or amputations occurred in the follow-up period. AUI without crossover bypass is a viable option in selected cases.
dc.publisherHindawi Limited
dc.relation.ispartofInternational Journal of Vascular Medicine
dc.rightsAttribution-NonCommercial-NoDerivs 3.0 Ireland
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/3.0/ie/
dc.titleAorto-uni-iliac stent grafts with and without crossover femorofemoral bypass for treatment of abdominal aortic aneurysms: a parallel observational comparative study
dc.typeArticle
dc.identifier.doi10.1155/2015/962078
dc.local.publishedsourcehttp://downloads.hindawi.com/journals/ijvm/2015/962078.pdf
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Except where otherwise noted, this item's license is described as Attribution-NonCommercial-NoDerivs 3.0 Ireland