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• W2024161086 abstract "The past decade has brought expanded use of endovascular therapies in the treatment of patients with aortoiliac occlusive disease, with surgical revascularization procedures playing an ever-diminishing role. A variety of factors have contributed to this trend, mostly founded on the disparity between the two approaches with regard to periprocedural risks, patient discomfort, and length of hospitalization and recuperation. Although all of these factors generally favor the endoluminal therapies, the durability of most surgical revascularizations remains superior to their endovascular counterparts. In the aortoiliac region, however, this disparity in durability is relatively small, whereas the risks of intra-abdominal surgery are relatively high, yielding an acceptable risk–benefit ratio for the endoluminal therapies. Furthermore, recurrent stenoses following endovascular interventions can frequently be treated by repeat angioplasty, with or without stenting, further forestalling the need for surgery. Although the relative costs of these two approaches have not been determined, any fair comparison must include the costs of treatment of all complications and the costs of repeat interventions, whether surgical or endovascular. Although the use of hospital resources may be less for endovascular therapies compared with the corresponding surgical procedure, the cost of endovascular devices, such as stents, can substantially inflate the overall cost of an endovascular procedure. The cost debate aside, however, patients have no doubt about what they perceive as the more desirable mode of treatment and have little reluctance to seek out physicians capable of providing endovascular therapy. In fact, patient demand has been a driving force behind the development of new endovascular devices and procedures to treat patients with peripheral vascular disease." @default.
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• W2024161086 date "1999-06-01" @default.
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• W2024161086 title "PERCUTANEOUS TRANSLUMINAL ANGIOPLASTY AND STENTING FOR ILIAC ARTERY OCCLUSIVE DISEASE" @default.
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• W2024161086 doi "https://doi.org/10.1016/s0039-6109(05)70025-6" @default.
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