LESIONS ATHEROMATEUSES DU CARREFOUR AORTO-ILIAQUE

Chirurgie Conventionnelle ou Endovascualire ?

Hôpital Cardiologique

CHRU de Lille, France

TransAtlantic Inter-Society Consensus (TASC)

• Caractéristiques morphologiques de la lésion:– Localisation– Degré de sténose– Étendue

TASC A et B

Gold standard = endovascular

TASC C & D

• Bypass = gold standard

• Hybrid or endovascular procedures = option in high risk patients

Open Surgery

• Technique : endarterectomy, patch angioplasty or bypass

• Aortobifemoral bypass– 89% patency rate at 5 years if the SFA is patent– 72% patency rate at 5 years if the SFA is

occluded

ENDOVASCULAR OPTION

ENDOVASCULAR RESULTS Primary Patency : 84,5 et 85,6 %

0

,2

,4

,6

,8

1

Cum

ulat

ive

Pat

ency

0 20 40 60 80 100 120 140 Time (months)

Aortic lesions

Aortoiliac lesions