Dikmen Nur, Ozcinar Evren, Akça Fatma, Şen Emre, Karacuha Ali Fuat, Kayan Ahmet, Yazıcıoğlu Levent
Ankara University Faculty of Medicine, 1Ankara, Türkiye.
Kırıkkale High Specialization Hospital, Kırıkkale, Türkiye.
Turk Gogus Kalp Damar Cerrahisi Derg. 2024 Dec 31;32(4 Suppl 2):061-62. doi: 10.5606/tgkdc.dergisi.2024.msb-36. eCollection 2024 Nov.
This study aimed to investigate the two-year outcomes of covered endovascular reconstruction of the aortic bifurcation (CERAB) in patients with complex aortoiliac occlusive disease.
This retrospective study was conducted with 40 patients (33 males, 7 females) with aortoiliac occlusive disease categorized as TASC (Trans-Atlantic Inter-Society Consensus Document on Management of Peripheral Arterial Disease) II B, C, and D, based on computed tomography angiography findings. All patients underwent the CERAB procedure. The study assessed procedural outcomes, including clinical and symptomatic improvements, as well as patency rates, over a two-year follow-up period.
The technical success rate was 100% across all procedures. At 36 months, the overall primary patency, assisted primary patency, and secondary patency rates were 85%, 90%, and 92.5%, respectively.
The two-year outcomes of this study suggest that CERAB offers patency rates comparable to those reported in other studies for complex aortoiliac occlusive diseases. The procedure showed favorable patency rates, particularly for more advanced TASC II B, C, and D lesions.
本研究旨在调查复杂主-髂动脉闭塞性疾病患者行带膜血管腔内主动脉分叉重建术（CERAB）的两年疗效。
本回顾性研究纳入了40例主-髂动脉闭塞性疾病患者（男性33例，女性7例），根据计算机断层扫描血管造影结果将其分类为跨大西洋血管外科学会（TASC）Ⅱ B、C和D型。所有患者均接受了CERAB手术。该研究评估了在两年随访期内的手术疗效，包括临床和症状改善情况以及通畅率。
所有手术的技术成功率均为100%。在36个月时，总体原发性通畅率、辅助原发性通畅率和继发性通畅率分别为85%、90%和92.5%。
本研究的两年结果表明，CERAB的通畅率与其他关于复杂主-髂动脉闭塞性疾病的研究报告相当。该手术显示出良好的通畅率，尤其是对于更严重的TASCⅡ B、C和D型病变。
