Hybrid approach for iliofemoral obstructive disease ARISTOTLE - - PowerPoint PPT Presentation

▶
hybrid approach for iliofemoral obstructive disease
SMART_READER_LITE
LIVE PREVIEW

Hybrid approach for iliofemoral obstructive disease ARISTOTLE - - PowerPoint PPT Presentation

Oct 30, 2022 220 likes •324 views

Hybrid approach for iliofemoral obstructive disease ARISTOTLE UNIVERSITY Dr. Nikolaos Melas, PhD Vascular and Endovascular Surgeon Military Doctor Associate in 1st department of Surgery,

slide-1
SLIDE 1

Hybrid approach for iliofemoral

  • bstructive disease

ARISTOTLE UNIVERSITY

  • Dr. ¡ ¡Nikolaos ¡Melas, ¡PhD

Vascular ¡and ¡Endovascular ¡Surgeon ¡ Military ¡Doctor Associate ¡in ¡1st ¡department ¡of ¡Surgery, ¡ Aristotle ¡University ¡of ¡Thessaloniki, ¡Greece Associate ¡in ¡Interbalcan ¡Medical ¡Center

slide-2
SLIDE 2

Previous History

  • 72 years old male
  • CAD
  • DM
  • Hypertension
  • COPD
slide-3
SLIDE 3

1998 Fontaine stage IIb (R) CIA, EIA, IIA occlusion TASC D

Iliofemoral bypass (R)

Previous history

ABI 0.85 ABI 0.90 ABI 0.85 ABI 0.45

slide-4
SLIDE 4

2005 Fontaine stage IIb bilateral Proximal anastomosis stenosis (R) Multifocal (L) CIA, EIA stenosis Obstruction (L) IIA TASC C kissing stent

Previous history

ABI 0.55 ABI 0.50 ABI 0.90 ABI 0.85

slide-5
SLIDE 5

2008 Fontaine stage IIb bilateral Proximal anastomosis restenosis (R) Multifocal (L) EIA stenosis (L) CFA + profunda stenosis TASC D 1) (L) Femoral endarterectomy+Profundoplasty (Bovine patch) 2) SE stent on the (L) EIA + PTA (L) iliac axis 3) SE stent on the (R) anastomosis

Current situation

ABI 0.55 ABI 0.40 ABI 0.80 ABI 0.80 1 2 3

slide-6
SLIDE 6

Initial DSA of

current situation

slide-7
SLIDE 7
slide-8
SLIDE 8

(L) External iliac intraluminal pressure 120mmHg

Final angio

Brachial intraluminal pressure 120mmHg (R) External iliac intraluminal pressure 120mmHg

slide-9
SLIDE 9

Alternative solutions Iliofem by pass ? Aorto bifem by pass?