OUTCOME OF OPEN AND ENDOVASCULAR ILIAC ARTERY INTERVENTIONS - AN INSTITUTIONAL EXPERIENCE

Purpose: To study the outcome of open and endovascular intervention of iliac artery disease. Methods- This is a prospective study of total 60 patients admitted at Stanley medical college, Chennai in the past 2 years(2017-2019) and underwent open or endovascular iliac artery interventions. Results: Most of the patients were male(98%). Mean age was 62 and ranges from 38 to 87 years.Indication for intervention were claudication pain(28%),rest pain(23%),ulcer/gangrene(49%).In 42 patients( 70%) endovascular intervention done in form of only angioplasty in 15 patients(35%) and angioplasty with stenting done in 27 patients(65%).In 18 patients(30%) open intervention done in form of ileofemoral bypass in 15 patients(84%) and patchplasty in 3 patients(16%).In endovascular intervention primary patency rate was 87%,ulcer healing in 95%, ABI improvement in 86%,reintervention in 7%,complication in 12%,amputation in 7% and mortality rate was 2%. In open intervention primary patency rate was 89%,ulcer healing in 90%, ABI improvement in 94%,reintervention in 6%,complication in 22%,amputation in 11% and mortality rate was 11%. Conclusion: This study illustrates that iliac artery interventions relieves symptoms effectively and amputation can be avoided in a vast majority of patients with threatened limbs. outcome of iliac artery intervention either open or endovascular is almost similar except for complications and mortality in which endovascular is better than open in our study.Patients not on follow up, continue to smoke, drug defaulter have increased the risk for amputation. Financial interest- No Conflict of interest- No Declaration- Not presented earlier.