Amr Abdulbaky, Ahmed Elmahrouky
AmrAbdulbaky, Ahmed Elmahrouky, Ahmed Sayed, Ahmed Gamal
Ashrf Abo-Elftooh Khalil, Ahmed F. AboRady, Ahmed Nawwar, Ahmed Ragab Morsi
Khaled E. Soliman M.D, Medhat M. Anwar M.D, Yasser S. Ahmed M.D, Samy E. Ibrahim M.D, Moustafa M. Abd El-Baki M.D, Mohamed H. Sultan M.Sc.
Hisham Mostafa (MD)1 , Usama Lotfi (MD, MRCS)1 , Ahmed Abdulrahman (MSc) 2
Mohamed El-Maadawy, MD, Ahmed Gamal, MD & Usama Lotfi, MD
Mahmoud S. Elbasiouny
Ahmed El-Marakby¹, Ahmed Faragaly¹
Hossam Elmahdy, M.D, Walied Eldaly, M.D, Baker Ghoneim, M.D
Dina Hany1,*, MD, Wafi Fouad2,*, MD and Ramy Mikhael Nageeb1,*, MD
Dina Hany1,*, MD, Wafi Fouad2,*, MD and Ramy Mikhael Nageeb1,*, MD
Khaled E. Soliman1 , Noha M. Ragab2 , Omar Shebl Zahra3
1Emad Abdellatif Daoud1M.D and 2Dahlia M. Dalam, M.D
Mohamed Riad and Basem M. Sieda
Ahmed Mahmoud Hussein1MD; Nader Makram Milad1MD; Mohammed Diaa Sarhan 1 MD; Ahmed Shaddad Abdel Wahed2 M.Sc.
1Gamal El Zaiady, 2Rasha Abdelkader, 2Sameh El Noamani
Ahmed A. Nawar, Rasha Abdelkader, Fady M. Yacoub
Abdrabou N. Mashhour MD
1Amr Saleh Elbahaey, 2Ahmed Aly Radwan
Midterm Outcomes of Endovascular Treatment of TransAtlantic InterSociety Consensus Class C &D Aortoiliac Occlusion
Objective: Management of TransAtlantic Inter-Society Consensus for the Peripheral Arterial Disease
(TASC II) class C & D total aortoiliac occlusions is traditionally by open surgery. The aim of this study
was to evaluate our centers’ outcomes treating TASC II C & D lesions by the endovascular approach.
Methods: This is a retrospective review of all percutaneous interventions for TASC II type C & D
aortoiliac occlusions performed between Jan 2012 and Dec 2015. Preoperative demographic data, risk
factors for atherosclerosis, clinical symptoms, and postoperative follow-up were evaluated. Results:
During this time period, 56 patients underwent endovascular repair for symptomatic TASC II type C & D
aortoiliac occlusions. Primary technical success was achieved in all patients except one (98%) by
percutaneous access via retrograde femoral approach. Additional brachial access in nine of these patients
was performed. One patient (2%) had failed recanalization & converted to open surgery. Balloon and selfexpandable either bare metal (we used nitinol only) or covered stents were used. The balloon expandable
covered stents were V12 (Atrium) and the self-expandable covered ones were the Viahaban (Gore) stents.
Average intervention time was 111 minutes; with average 155 mL contrast was used. Minor postoperative
complications were observed in 12 of 55 (21.8%) patients. Six patients (10.9%) had major complications
that required interventions. We didn’t have any peri-intervetoinal mortality. Median length of stay was 2
days. The average follow-up was 10.0 months. Therapy failed in one patient at 20 months his leg became
unsalvageable despite revascularization. Primary and secondary patency rates (at one year follow-up)
were (48/55, 87.2%) and (50/55, 90.9%) respectively. Conclusions: An endovascular approach to complex
total aortoiliac occlusions is feasible and shows promising midterm results with effective resolution of
symptoms, low mortality rates, and short hospital stay according to this small series. Further prospective
studies and longer-term follow-up are needed to confirm these results.