0
ARTICLE |

Closed Endarterectomy:  Preferred Operation for Aortoiliac Occlusive Disease

Rard M. H. Widdershoven, MD; Harry H. LeVeen, MD
Arch Surg. 1989;124(8):986-990. doi:10.1001/archsurg.1989.01410080122022.
Text Size: A A A
Published online

• Closed endarterectomy using the LeVeen plaque cracker was performed on isolated, clamped segments of the unopened aorta, iliac, and femoral arteries. The results of this type of endarterectomy have been analyzed for 111 patients who were followed up from 2½ to nine years. The five-year patency rate was 99%. After nine years, 96.5% of the vessels that underwent surgery remained functionally and radiographically patent. Closed endarterectomy is a substantial improvement over conventional open or half-closed endarterectomy. The closed endarterectomy takes less time, entails little or no blood loss, and is accomplished through a retroperitoneal approach. The aortofemoral bypass graft is inferior to the closed endarterectomy in morbidity, mortality, patency, and alleviation of impotence. Late complications with bypass grafts, using synthetic material, are more numerous and lifethreatening.

(Arch Surg 1989;124:986-990)

Topics

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();