PMID: 8944453Oct 1, 1996Paper

Changing patterns in aortoiliac reconstruction: a 7-year audit

The British Journal of Surgery
M S WhiteleyR B Galland

Abstract

A prospective vascular audit was performed in this hospital between 1988 and 1994. There was a substantial increase in the number of vascular reconstructions (78 in 1988; 141 in 1994). Aortobifemoral grafts for occlusive disease comprised 18 per cent of the operations in 1988 and 0.7 per cent in 1994 (95 per cent confidence interval 0.086-0.259). There was a corresponding increase in the number of extra-anatomic grafts (from 3 to 20.6 per cent). There was a threefold increase in the number of percutaneous angioplasties performed for iliac occlusive lesions (14 in 1988; 41 plus 13 iliac stent procedures in 1994). This had no impact on the total rate of surgical intervention for aortoiliac disease, although it probably aided the shift to extra-anatomic reconstruction by dilatation of the donor side. To investigate whether this change is national, rather than local, graft sales figures were obtained from two vascular graft companies; these confirmed a national trend away from aortobifemoral grafting and provide some evidence to support an increase in extra-anatomic bypass grafting.

References

Sep 1, 1992·American Journal of Surgery·R M ShahJ J Ricotta
Oct 1, 1992·The British Journal of Surgery·R L NgM Horrocks
Mar 1, 1989·Radiology·G J BeckerM D Dake
Feb 1, 1995·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·J S BuddP R Bell
Sep 1, 1995·Journal of Vascular Surgery·T S HuberJ M Seeger
Jun 1, 1994·The British Journal of Surgery·J P PellC V Ruckley
Jan 1, 1994·Journal of Vascular Surgery·J R SchneiderJ L Cronenwett
May 1, 1993·Cardiovascular and Interventional Radiology·E P StreckerJ Wambsganss
Feb 1, 1996·Journal of Vascular Surgery·M A PassmanJ M Porter
Oct 1, 1996·The British Journal of Surgery·M S WhiteleyR B Galland

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Citations

Apr 29, 1998·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·G J ToogoodR B Galland
Sep 23, 2008·Journal of Vascular Surgery·Vikram S KashyapDaniel G Clair
Feb 9, 2013·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Chris KlonarisSotirios Georgopoulos

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