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Iliofemoral endarterectomy associated with systematic iliac stent grafting for the treatment of severe iliofemoral occlusive disease  Pierre Maitrias,

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Presentation on theme: "Iliofemoral endarterectomy associated with systematic iliac stent grafting for the treatment of severe iliofemoral occlusive disease  Pierre Maitrias,"— Presentation transcript:

1 Iliofemoral endarterectomy associated with systematic iliac stent grafting for the treatment of severe iliofemoral occlusive disease  Pierre Maitrias, MD, Gwendoline Deltombe, MD, Valérie Molin, MD, Thierry Reix, MD  Journal of Vascular Surgery  Volume 65, Issue 2, Pages (February 2017) DOI: /j.jvs Copyright © 2016 Society for Vascular Surgery Terms and Conditions

2 Fig 1 Iliofemoral eversion procedure. A, Exposure of the femoral bifurcation and the external iliac artery (EIA) under the inguinal ligament with section of the superficial circumflex iliac artery and the superficial epigastric artery (arrows). B and C, Eversion endarterectomy technique. D, Iliofemoral thrombus after endarterectomy. E and F, Direct femoral suture. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

3 Fig 2 A, Occlusion of the external iliac artery (EIA) on perioperative angiography. B, Recanalization of the EIA. C, “Paving and cracking” of the external iliac segment. D, Determination of the length of the arterial segment to be covered. E and F, Deployment of the Fluency stent graft (E) and subsequent dilation (F). G and H, Final completion angiography of the iliofemoral segment after balloon stent graft impaction. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

4 Fig 3 A-C, Preoperative computed tomography (CT) angiography showing complex aortoiliofemoral lesions on maximum intensity projection view (A) with external iliac artery (EIA) occlusion (B, arrow) and femoral calcifications (C, arrow). D-F, One-year follow-up CT angiography showing aortobi-iliac stenting on maximum intensity projection view (D), iliofemoral eversion (dotted arrows) with EIA stent graft (arrows) on curve views (E, F). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

5 Fig 4 Overall primary, assisted primary, and secondary patency rates. SE, Standard error. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

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