{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T14:51:48Z","timestamp":1777819908932,"version":"3.51.4"},"reference-count":28,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2018,1,17]],"date-time":"2018-01-17T00:00:00Z","timestamp":1516147200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Endovasc Ther"],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:p>Purpose: To evaluate the long-term results of remote iliac artery endarterectomy (RIAE) in 2 vascular referral centers and review existing literature. Methods: A retrospective analysis was conducted of 109 consecutive patients (mean age 64.2\u00b110.7 years; 72 men) who underwent 113 RIAE procedures for lower limb ischemia from January 2004 to August 2015 at 2 vascular centers. The majority of limbs (82, 72.6%) had TASC II D lesions (31 TASC II C). Primary outcome measures were primary, assisted primary, and secondary patency. A comprehensive literature search was performed in the PubMed and EMBASE databases to identify all English-language studies published after 1990 reporting the results of RIAE. Results: Technical success was achieved in 95 (84.1%) of the 113 procedures. The complication rate was 13.7%, and 30-day mortality was 0%. At 5 years, primary patency was 78.2%, assisted primary patency was 83.4%, and secondary patency was 86.7%. Hemodynamic success was obtained in 91.7% of patients, and clinical improvement was observed in 95.2%. Freedom from major amputation was 94.7% at 5 years. The systematic review comprised 6 studies including 419 RIAEs, and pooled data showed results similar to the current study. Conclusion: For external iliac artery occlusions extending into the common femoral artery, RIAE appears to be a valuable hybrid treatment option. It combines acceptable morbidity and low mortality with good long-term patency. It has some advantages over an open surgical iliofemoral bypass or complete endovascular revascularization and could be the best treatment option in selected cases.<\/jats:p>","DOI":"10.1177\/1526602817749620","type":"journal-article","created":{"date-parts":[[2018,1,18]],"date-time":"2018-01-18T16:18:19Z","timestamp":1516292299000},"page":"140-149","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Remote Iliac Artery Endarterectomy: A Case Series and Systematic Review"],"prefix":"10.1177","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4359-5799","authenticated-orcid":false,"given":"Joost A.","family":"Bekken","sequence":"first","affiliation":[{"name":"Department of Vascular Surgery, Maasstad Hospital, Rotterdam, the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sanne W.","family":"de Boer","sequence":"additional","affiliation":[{"name":"Department of Interventional Radiology, St Antonius Hospital, Nieuwegein, the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rogier","family":"van der Sluijs","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, St Antonius Hospital, Nieuwegein, the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hidde","family":"Jongsma","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Maasstad Hospital, Rotterdam, the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean-Paul P. 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