Treatment for complex aortoiliac stenoocclusive disease traditionally is open surgical
repair. Endovascular approach is associated with less perioperative stress for the
patient, and is a reasonable solution. Covered stent implantation is an alternative
treatment option in this patient population even in the case of aortobiiliac or aortobifemoral
bypasses.Assessing outcomes of aortoiliac covered stent implantation at our vascular
center.We retrospectively analysed the data of 36 prospectively registered, consecutive
patients who underwent aortoiliac covered stent implantations at our department between
the 1th November 2019 and 30th September 2021. Medical records, perioperative complications,
preoperative and postoperative Rutherford stages and ankle-brachial index were recorded.
One-year survival and primary patency as primary endpoints were presented on Kaplan-Meier
curve. Our secondary endpoints were change of the ankle-brachial index and Rutherford
stage, and the incidence of the major amputation.36 patients were included in the
study. Mean follow-up time was 12 ± 6.9 months. TASC C-D aortoiliac lesions were the
indication of the procedures in 72.2% (n = 26). Patients had critical limb ischaemia
in 44% (n = 16). In 64% (n = 23), interventions were performed via percutaneous puncture.
In-hospital stay was 5 ± 7 days. Perioperative bleeding and reoperation occured in
4 (11.1%) and 6 (16.6%) cases, respectively. Perioperative mortality was zero. The
one-year survival and primary patency were 94.3% and 91.4%, respectively. The postoperative
Rutherford stage (3 [2] vs. 1 [1]; p<0.001) and ankle-brachial index (0.4 [0.55] vs.
1 [0.4]; p<0.001) improved significantly compared to the preoperative ones. Unplanned
major amputation was not performed.Significant clinical improvement with low perioperative
mortality, acceptable morbidity and high one-year primary patency and survival can
be obtained by the use of covered stents in the treatment of aortoiliac stenoocclusive
disease. This procedure can be an alternative to open surgical repair. Orv Hetil.
2022; 163(39): 1553-1558.
