Three Cases of Extensive Aortoiliac Occlusive Disease（AIOD）with Aorto-Uni-Iliac（AUI）Stent-Grafting with Femoro-Femoral Crossover Bypass

Gaku Takinami＊	Hirofumi Midorikawa＊	Rie Kageyama＊
Kyohei Ueno＊	Megumu Kanno＊

（Department of Cardiovascular Surgery, Southern Tohoku General Hospital＊, Koriyama, Japan）

Aortoiliac occlusive disease（AIOD）can be difficult to treat. We performed aorto-uni-iliac（AUI）stent-grafting with external-iliac artery crossover bypass in 3 cases of extensive AIOD（mean age 69 years). Lesions were TASC II type D in 2 and D＋A in 1. Mean ankle-brachial index of diseased side was 0.52. Bare stent placement for iliac stenosis was also done in 2 cases. All cases were a technical success with no complications. Mean operation time was 123 min and mean hospital stay was 11 days. We have been keeping good patency. We consider it an effective treatment option for AIOD.

 

Jpn. J. Cardiovasc. Surg. 48:411-414（2019）

Keywords：periphral arterial disease（PAD）;hybrid operation;stent-graft