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DOI: 10.1055/s-0041-1730629
Safety and Efficacy of Covered Endovascular Reconstruction of the Aortic Bifurcation Technique for Complex Aortoiliac Occlusive Disease: A Single Center Experience
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Background: Endovascular intervention with kissing stenting (KS) is the first-line treatment for complex aortoiliac occlusive disease (AIOD) and it is related to less morbidity and a shorter hospital stay compared with open surgery. Unfortunately, recent study reported a primary patency of KS at 2-year follow-up of 79%. The geometry of the KS configuration was previously identified as a risk factor for restenosis and thrombosis. To achieve better long-term patency in 2013, a new technique named the covered endovascular reconstruction of the aortic bifurcation (CERAB) technique was introduced. The results at 1-year FU reported a primary and secondary patency rates of 87% and 95%, respectively. Three-year FU confirmed the good outcome of the CERAB technique for extensive AIOD with a primary, primary assisted, and secondary patency rates of 82%, 87%, and 97%, respectively. We want to report our single center experience with CERAB for the treatment of extensive AIOD. Method(s): Between February 2018 and July 2018, 9 patients (1 female) where diagnosed with intermittent claudication (7) and critical limb ischemia (2) and treated with CERAB technique. Lesion morphology was evaluated by CT angiography. All lesions were 7 TASC d and 2 TASC c lesions. Follow-up consisted of clinical assessment and duplex ultrasound at one and three months follow up. Patency rates and clinically driven target lesion revascularization were calculated. Result(s): Technical success was obtained in all the procedures (100%). Primary patency at three months was 100%. No complications were reported. There was no 30-day mortality. Median hospital stay was 1 days. Conclusion(s): The CERAB technique appears to be a safe and feasible alternative to open surgical reconstruction of the aortic bifurcation in complex occlusive disease. Our results are in line with what reported by latest studies in literature.
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Publication History
Article published online:
11 May 2021
© 2019. The Arab Journal of Interventional Radiology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
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