{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,17]],"date-time":"2025-12-17T18:14:37Z","timestamp":1765995277755},"reference-count":0,"publisher":"Medip Academy","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int Surg J"],"abstract":"<jats:p>Background: Aortoiliac disease management remains a subject of ongoing debate, with a shift in focus toward endovascular techniques, even in complex cases. This study aimed to evaluate and compare the safety and results of open surgery with endovascular surgery for treating TASC-II D aortoiliac lesions.\nMethods: From January\u00a02013 to February 2021, the clinical data of 89 patients revascularized with symptomatic TASC\u00a0\u0399\u0399\u00a0D AID were analyzed in a prospective cohort study. The patients were divided into two groups: open repair (61 patients) and endovascular treatment (28 patients). Baseline characteristics, preoperative and postoperative imaging, operation procedure reports and follow-up were reviewed and analyzed. Kaplan-Meier survival analysis, multivariate Cox regression, and a Propensity Score\u00a0Matching (PSM)\u00a0analysis were used to evaluate the relevance between risk factors and surgical technique.\nResults: Open repair had a higher technical success rate (100% vs. 73.7%, p=0.01). 30-day major adverse cardiovascular (MACE) and limb (MALE) events showed no differences between both groups (PSM: 1 (4.8%) vs. 0, p=0.462 and 1 (4.8%) vs. 2 (13.3), p=0.235, respectively). Cox multivariable regression proportional hazard ratio showed no significant differences in terms of MALE between open and endovascular revascularization at 36 months (hazard ratio, HR 1.31 95% CI 0.56-3.06, p=0.54), even after PSM (HR 1.63 95% CI 0.58-4.55, p=0.35). Moreover, MACE and all-cause mortality also didn\u00b4t show a statistically significant difference between groups (HR 0.77 95% CI 0.22-2.64, p=0.67 and HR 0.97 95% CI 0.27-3.46, p=0.96).\nConclusions: Open and endovascular techniques are safe and effective treatments for complex AIOD. It is expected to have a higher technical success rate with open repair; however, there are no significant differences in MACE or MALE between these two approaches.\n\u00a0<\/jats:p>","DOI":"10.18203\/2349-2902.isj20233920","type":"journal-article","created":{"date-parts":[[2023,12,28]],"date-time":"2023-12-28T00:58:55Z","timestamp":1703725135000},"page":"37-44","source":"Crossref","is-referenced-by-count":1,"title":["Comparing endovascular and open reconstruction for TASC-II D aortoiliac disease: a propensity score analysis"],"prefix":"10.18203","volume":"11","author":[{"given":"Mariana","family":"Bas\u00edlio-Martins","sequence":"first","affiliation":[]},{"given":"Ant\u00f3nio","family":"Pereira-Neves","sequence":"additional","affiliation":[]},{"given":"Diogo","family":"Domingues-Monteiro","sequence":"additional","affiliation":[]},{"given":"Tiago","family":"Costa-Pereira","sequence":"additional","affiliation":[]},{"given":"M\u00e1rio","family":"Marques-Vieira","sequence":"additional","affiliation":[]},{"given":"Jos\u00e9","family":"Vidoedo","sequence":"additional","affiliation":[]},{"given":"Jo\u00e3o","family":"Rocha-Neves","sequence":"additional","affiliation":[]}],"member":"7570","published-online":{"date-parts":[[2023,12,27]]},"container-title":["International Surgery Journal"],"original-title":[],"link":[{"URL":"https:\/\/www.ijsurgery.com\/index.php\/isj\/article\/download\/10069\/6021","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ijsurgery.com\/index.php\/isj\/article\/download\/10069\/6021","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,28]],"date-time":"2023-12-28T00:59:10Z","timestamp":1703725150000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ijsurgery.com\/index.php\/isj\/article\/view\/10069"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,12,27]]},"references-count":0,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2023,12,27]]}},"URL":"https:\/\/doi.org\/10.18203\/2349-2902.isj20233920","relation":{},"ISSN":["2349-2902","2349-3305"],"issn-type":[{"value":"2349-2902","type":"electronic"},{"value":"2349-3305","type":"print"}],"subject":[],"published":{"date-parts":[[2023,12,27]]}}}