Overview
Infected aortoiliac grafts represent a serious complication following vascular interventions, often necessitating urgent surgical or endovascular management to address both infection and graft patency issues. 1291329Diagnosis
Management
Special Populations
Key Recommendations
References
Showing 100 most recent of 117 indexed papers.
1 Mezzetto L, Grosso L, Abruzzino G, Garcia Landaverde VM, D'Oria M, Lepidi S et al.. Systematic Review and Meta-Analysis of Balloon Expandable Versus Self-Expandable Covered Stent in Aortoiliac Occlusive Disease. Annals of vascular surgery 2026. link 2 Sfyroeras GS, Pitros C, Plakas G, Yfantis A, Antonopoulos CN, Moulakakis KG et al.. Contemporary Results of Open Surgery for Aortoiliac Occlusive Disease. Annals of vascular surgery 2026. link 3 Athayde Soares R, Lorenzoni GS, Pinheiro VG, Peixoto Aleixo FA, Alves Duarte TC, Neto VB et al.. Outcomes of the Safety and Efficacy of Covered Stents Versus Bare Metal Stents for Endovascular Treatment of Aortoiliac Occlusive Disease: A Single-Center Experience. Annals of vascular surgery 2026. link 4 Piazza M, Iqbal K, Imhoff RJ, Baidoo B, Henessey M, Fujihara M et al.. Systematic Literature Review and Meta-analysis of Covered Balloon-Expandable Stents for Aortoiliac Occlusive Disease. Journal of vascular and interventional radiology : JVIR 2026. link 5 Vicario-Feliciano R, Zil-E-Ali A, Aziz F. The Axillary-Bi-Profunda Femoris Artery Bypass is Linked to a Higher Long-Term Risk of Amputation Compared to the Axillary-Bi-Common Femoral Artery Bypass. Annals of vascular surgery 2026. link 6 Manaki V, Bontinis V, Bontinis A, Giannopoulos A, Kontes I, Ktenidis K. Bifurcated Endografts for the Treatment of Aortoiliac Disease a Systematic Review and Individual Patient Data (IPD) Meta-Analysis. Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists 2026. link 7 Alsarayreh M, Ruiz C, Pascarella L. Effect of obesity on patient outcomes after aortobifemoral bypass in the treatment of aortoiliac occlusive disease. Vascular 2026. link 8 Horie K, Takahara M, Iida O, Kohsaka S, Nakama T, Shinke T et al.. Comparing the Safety and Feasibility of Endovascular Therapy via Transradial and Transfemoral Approaches in Patients with Aortoiliac Occlusive Disease: A Propensity Score-Matched Analysis of the Nationwide Registry. Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists 2025. link 9 Kruszyna Ł, Strauss E, Tomczak J, Słowiński P, Madycki G, Dzieciuchowicz Ł et al.. Outcomes of Covered Endovascular Reconstruction of the Aortic Bifurcation (CERAB) Procedure for the Treatment of Extensive Aortoiliac Occlusive Disease Using the BeGraft Balloon-Expandable Covered Stent: A Multicenter Observational Study. Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists 2025. link 10 Fang S, Zhou M, Li X, Ding Y, Xie T, Zhou Z et al.. Comparison of Covered Stent versus Bare-Metal Stent Implantation in Aortoiliac Occlusive Disease: A Systematic Review and Meta-Analysis. Journal of vascular and interventional radiology : JVIR 2025. link 11 Zeng C, Wu Z, Lei J, Pu H, Qiu P, Peng Z et al.. Covered Stents vs Bare Metal Stents for Aortoiliac Arterial Diseases: A Systematic Review and Meta-Analysis. Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists 2025. link 12 Warburton TM, Thomas SD, Hons M, Holden A, Katib N, Varcoe RL. A Cost-Consequence Analysis Comparing Balloon-Expandable Covered Stents for the Management of Aortoiliac Occlusive Disease. Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists 2025. link 13 Li J, Zhang Y, Fang J, Qu C, Teng L, Shen C. Outcomes of covered vs bare metal stents for the treatment of aortoiliac occlusive disease. Journal of vascular surgery 2024. link 14 Smith AH, Dash S, Steenberge S, Quatromoni JG, Rowse JW, Caputo FJ et al.. Hypogastric artery luminal diameter predicts common-external iliac stent patency and major adverse limb events in patients with aortoiliac occlusive disease. Vascular 2024. link 15 Sarikaya S, Altas O, Deniz G, Ozer T, Aksut M, Hancer H et al.. Long-Term Results of Thoracofemoral Bypass in the Initial Treatment of Juxtarenal Total Aortic Occlusion. Annals of vascular surgery 2024. link 16 Kriens M, Jayet J, Gallien Y, Mercier L, Javerliat I, Coggia M et al.. Influence of Perioperative Factors on Patency After Endovascular and Hybrid Treatments of TASC II D Aortoiliac Occlusive Lesions. Annals of vascular surgery 2024. link 17 Motyl CM, Pearce BJ, Spangler EL, Beck AW. Aortic endarterectomy in patients with severe multivessel paravisceral and aortoiliac occlusive disease. Journal of vascular surgery 2024. link 18 Bennett KM, Hurley L, Kyriakides TC, Yi JA, Freischlag JA, Matsumura JS. Effect of preservation of antegrade hypogastric flow on development of claudication following aortoiliac aneurysm repair. Journal of vascular surgery 2023. link 19 Gao P, Li C, Wu X, Li G, Dong D, Qi J. Transbrachial and transfemoral approaches combined with visceral protection for the treatment of juxtarenal aortoiliac occlusive disease: Technical issues and clinical outcomes. Vascular 2022. link 20 Smith AH, Beach JM, Dash S, Rowse J, Parodi FE, Kirksey L et al.. Comparison of Aortobifemoral Bypass to Aortoiliac Stenting with Bifurcation Reconstruction for TASC II D Aortoiliac Occlusive Disease. Annals of vascular surgery 2022. link 21 Govedarski V, Dimitrova E, Hadzhiev E, Denchev B, Vassileva Z. Retroperitoneal Aortobifemoral Bypass by a Combination of Horseshoe Kidney and Aortoiliac Occlusive Disease with Stent Thrombosis. Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia 2022. link 22 Simonte G, Isernia G, Fino G, Centonza E, Parlani G, Lenti M et al.. The Effect of Manufacturer's Instructions for Use Compliance on Cook ZBIS Iliac-Branched Endograft Long-Term Outcomes. Annals of vascular surgery 2021. link 23 Stewart LM, Passman MA, Spangler EL, Sutzko DC, Pearce BJ, McFarland GE et al.. Thoracofemoral bypass outcomes in the Vascular Quality Initiative. Journal of vascular surgery 2021. link 24 Rocha-Neves J, Ferreira A, Sousa J, Pereira-Neves A, Vidoedo J, Alves H et al.. Endovascular Approach Versus Aortobifemoral Bypass Grafting: Outcomes in Extensive Aortoiliac Occlusive Disease. Vascular and endovascular surgery 2020. link 25 Diamond KR, Woo K, Neal D, Zhao Y, Glocker RJ, Bertges DJ et al.. Prediction of postoperative myocardial infarction after suprainguinal bypass using the Vascular Quality Initiative Cardiac Risk Index. Journal of vascular surgery 2019. link 26 Tsolakis IA, Kakkos SK, Papageorgopoulou CP, Zampakis P, Kalogeropoulou C, Papadoulas S et al.. Improved effectiveness of the repositionable GORE EXCLUDER AAA endoprosthesis featuring the C3 delivery system compared with the original GORE EXCLUDER AAA endoprosthesis for within the instructions for use treatment of aortoiliac aneurysms. Journal of vascular surgery 2019. link 27 Bracale UM, Giribono AM, Spinelli D, Del Guercio L, Pipitò N, Ferrara D et al.. Long-term Results of Endovascular Treatment of TASC C and D Aortoiliac Occlusive Disease with Expanded Polytetrafluoroethylene Stent Graft. Annals of vascular surgery 2019. link 28 Bekken JA, Jongsma H, Fioole B. The use of covered stents in aortoiliac obstructions: a systematic review and meta-analysis. The Journal of cardiovascular surgery 2018. link 29 Taeymans K, Groot Jebbink E, Holewijn S, Martens JM, Versluis M, Goverde PCJM et al.. Three-year outcome of the covered endovascular reconstruction of the aortic bifurcation technique for aortoiliac occlusive disease. Journal of vascular surgery 2018. link 30 Groot Jebbink E, Mathai V, Boersen JT, Sun C, Slump CH, Goverde PCJM et al.. Hemodynamic comparison of stent configurations used for aortoiliac occlusive disease. Journal of vascular surgery 2017. link 31 Dijkstra ML, Goverde PC, Holden A, Zeebregts CJ, Reijnen MM. Initial Experience With Covered Endovascular Reconstruction of the Aortic Bifurcation in Conjunction With Chimney Grafts. Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists 2017. link 32 Van Haren RM, Goldstein LJ, Velazquez OC, Karmacharya J, Bornak A. Endovascular treatment of TransAtlantic Inter-Society Consensus D aortoiliac occlusive disease using unibody bifurcated endografts. Journal of vascular surgery 2017. link 33 Cury MVM, Rodrigues TO, Issa AA. Percutaneous implantation of a unibody endograft to treat non-aneurysmal aortoiliac disease. VASA. Zeitschrift fur Gefasskrankheiten 2017. link 34 Vadlamudi C, Chahwala V, Moreno EJ, Yang JK, Bornak A, Goldstein L. Endovascular Reconstruction of Aortoiliac Occlusive Disease with an Aberrant Pelvic Kidney. Annals of vascular surgery 2016. link 35 Shintani Y, Soga Y, Takahara M, Iida O, Kawasaki D, Yamauchi Y et al.. Clinical Outcomes of SMART Versus Luminexx Nitinol Stent Implantation for Aortoiliac Artery Disease: A Propensity Score-Matched Multicenter Study. Angiology 2015. link 36 Rossi M, Iezzi R. Cardiovascular and Interventional Radiological Society of Europe guidelines on endovascular treatment in aortoiliac arterial disease. Cardiovascular and interventional radiology 2014. link 37 Novotný T, Dvorák M, Staffa R. The learning curve of robot-assisted laparoscopic aortofemoral bypass grafting for aortoiliac occlusive disease. Journal of vascular surgery 2011. link 38 Lin JC, Reddy DJ, Eun D, Fumo M, Menon M. Robotic-assisted laparoscopic dissection of the infrarenal aorta and iliac artery: a technical description and early results. Annals of vascular surgery 2009. link 39 Beck AW, Murphy EH, Hocking JA, Timaran CH, Arko FR, Clagett GP. Aortic reconstruction with femoral-popliteal vein: graft stenosis incidence, risk and reintervention. Journal of vascular surgery 2008. link 40 Gyedu A, Koksoy C. Aortoiliac occlusive disease in the presence of a horseshoe kidney: a case report. Annals of vascular surgery 2008. link 41 Klem TM, van der Ham AC, de Smet AA, Hok Oei I, Wittens CH. Hand assisted laparoscopic surgery of aortoiliac occlusive disease: initial results. European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery 2006. link 42 Dion YM, Griselli F, Douville Y, Langis P. Early and mid-term results of totally laparoscopic surgery for aortoiliac disease: lessons learned. Surgical laparoscopy, endoscopy & percutaneous techniques 2004. link 43 Paraskevas KI, Tzortzis EA, Liapis CD. The limits of percutaneous intervention in aortoiliac occlusive disease. Acta chirurgica Belgica 2004. link 44 Mouanoutoua M, Maddikunta R, Allaqaband S, Gupta A, Shalev Y, Tumuluri R et al.. Endovascular intervention of aortoiliac occlusive disease in high-risk patients using the kissing stents technique: long-term results. Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions 2003. link 45 Wijtenburg E, Remy P, D'hont Ch, Vindevogel Ch, Blampain JP, Massin H. Hand-assisted laparoscopic aortoiliac surgery: preliminary report of 25 cases. Acta chirurgica Belgica 2003. link 46 Wisselink W, Cuesta MA, Gracia C, Rauwerda JA. Robot-assisted laparoscopic aortobifemoral bypass for aortoiliac occlusive disease: a report of two cases. Journal of vascular surgery 2002. link 47 Matsushita M, Nishikimi N, Sakurai T, Nimura Y. Infrarenal aortic dilatation less than 4 cm is not unusual in patients with aortoiliac occlusive disease. International angiology : a journal of the International Union of Angiology 2002. link 48 Kelly JJ, Kercher KW, Gallagher KA, Litwin DE, Arous EJ. Hand-assisted laparoscopic aortobifemoral bypass versus open bypass for occlusive disease. Journal of laparoendoscopic & advanced surgical techniques. Part A 2002. link 49 Lipsitz EC, Ohki T, Veith FJ, Berdejo G, Suggs WD, Wain RA et al.. Limited role for IVUS in the endovascular repair of aortoiliac aneurysms. The Journal of cardiovascular surgery 2001. link 50 Lin PH, Bush RL, Lumsden AB. Sloughing of the scrotal skin and impotence subsequent to bilateral hypogastric artery embolization for endovascular aortoiliac aneurysm repair. Journal of vascular surgery 2001. link 51 Iglesias JI, Hamburger RJ, Feldman L, Kaufman JS. The natural history of incidental renal artery stenosis in patients with aortoiliac vascular disease. The American journal of medicine 2000. link00605-7) 52 Onohara T, Komori K, Kume M, Ishida M, Ohta S, Takeuchi K et al.. Multivariate analysis of long-term results after an axillobifemoral and aortobifemoral bypass in patients with aortoiliac occlusive disease. The Journal of cardiovascular surgery 2000. link 53 Wain RA, Veith FJ, Marin ML, Ohki T, Suggs WD, Cynamon J et al.. Analysis of endovascular graft treatment for aortoiliac occlusive disease: what is its role based on midterm results?. Annals of surgery 1999. link 54 Tyagi S, Kaul UA, Arora R. Endovascular stenting for unsuccessful angioplasty of the aorta in aortoarteritis. Cardiovascular and interventional radiology 1999. link 55 Mendelsohn FO, Santos RM, Crowley JJ, Lederman RJ, Cobb FR, Phillips HR et al.. Kissing stents in the aortic bifurcation. American heart journal 1998. link70005-5) 56 Lee SD, Arko FR, Buckley CJ. Impact of intravascular ultrasonography in the endovascular management of aortoiliac occlusive disease. Journal of vascular nursing : official publication of the Society for Peripheral Vascular Nursing 1998. link90002-4) 57 Silberzweig JE, Marin ML, Hollier LH, Mitty HA, Parsons RE, Cooper JM et al.. Aortoiliac aneurysms: endoluminal repair--clinical evidence for a fully supported stent-graft. Radiology 1998. link 58 Deyu Z, Lisheng L, Ruping D, Haiying W, Guozhang L. Percutaneous transluminal renal angioplasty in aortoarteritis. International journal of cardiology 1998. link00170-3) 59 Madiba TE, Mars M, Robbs JV. Choosing the proximal anastomosis in aortobifemoral bypass. The British journal of surgery 1997. link 60 Dion YM, Gracia CR. A new technique for laparoscopic aortobifemoral grafting in occlusive aortoiliac disease. Journal of vascular surgery 1997. link70070-3) 61 van der Vliet JA, van Asten WN, Haenen JH, Boll AP, Buskens FG. Doppler spectrum analysis versus direct femoral artery pressure measurement for rapid assessment of aortoiliac obstruction. Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine 1997. link 62 Rieker O, Düber C, Neufang A, Pitton M, Schweden F, Thelen M. CT angiography versus intraarterial digital subtraction angiography for assessment of aortoiliac occlusive disease. AJR. American journal of roentgenology 1997. link 63 de Vries SO, Hunink MG. Results of aortic bifurcation grafts for aortoiliac occlusive disease: a meta-analysis. Journal of vascular surgery 1997. link70053-3) 64 Whiteley MS, Ray-Chaudhuri SB, Galland RB. Changing patterns in aortoiliac reconstruction: a 7-year audit. The British journal of surgery 1996. link 65 Dion YM, Gaillard F, Demalsy JC, Gracia CR. Experimental laparoscopic aortobifemoral bypass for occlusive aortoiliac disease. Canadian journal of surgery. Journal canadien de chirurgie 1996. link 66 Tyagi S, Gambhir DS, Kaul UA, Verma P, Arora R. A decade of subclavian angioplasty: aortoarteritis versus atherosclerosis. Indian heart journal 1996. link 67 Melliere D, Becquemin JP, Cervantes-Monteil F, Le Chevillier B, Berrahal D. Recurrent femoral anastomotic false aneurysms: is long term repair possible?. Cardiovascular surgery (London, England) 1996. link 68 Allen BT, Rubin BG, Reilly JM, Thompson RW, Anderson CB, Flye MW et al.. Limb salvage and patency after aortic reconstruction in younger patients. American journal of surgery 1995. link80283-9) 69 de Lasson L, Hansen HE, Juhl B, Paaske WP, Pedersen EB. A randomised, clinical study of the effect of low-dose dopamine on central and renal haemodynamics in infrarenal aortic surgery. European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery 1995. link80202-3) 70 Currie IC, Wilson YG, Baird RN, Lamont PM. Postocclusive hyperaemic duplex scan: a new method of aortoiliac assessment. The British journal of surgery 1995. link 71 Jain KM, Munn JS, Simoni EJ. Aortoiliac bypass in a renal transplant patient using a new technique. Annals of vascular surgery 1995. link 72 Schneider JR. Aortoiliac occlusive disease. Seminars in vascular surgery 1995. link 73 Reilly JM, Sicard GA. Retroperitoneal aortoiliac reconstruction. The Surgical clinics of North America 1995. link46690-9) 74 de Smet AA, Visser K, Kitslaar PJ. Duplex scanning for grading aortoiliac obstructive disease and guiding treatment. European journal of vascular surgery 1994. link80651-6) 75 Mulligan SA, Doyle M, Matsuda T, Koslin DB, Kenney PJ, Barton RE et al.. Aortoiliac disease: two-dimensional inflow MR angiography with lipid suppression. Journal of magnetic resonance imaging : JMRI 1993. link 76 Prendiville EJ, Burke PE, Colgan MP, Wee BL, Moore DJ, Shanik DG. The profunda femoris: a durable outflow vessel in aortofemoral surgery. Journal of vascular surgery 1992. link 77 Karabinis VD, Onohara T, Sariego J, Gensler T, Wilson A, Kerstein M et al.. Clinical experience with polytetrafluoroethylene (PTFE) in the aortobifemoral position. The American surgeon 1992. link 78 Satoh H, Kobayashi T, Hiraishi T, Sakurai M, Fudemoto Y, Kaneko M et al.. New side-holed sheath for intraaortic balloon pumping to maintain limb perfusion. The Annals of thoracic surgery 1992. link91038-b) 79 Dé P, Hepp W. Present role of extraanatomic bypass graft procedures for aortoiliac occlusive disease. International angiology : a journal of the International Union of Angiology 1991. link 80 Smith PK, Miller DA, Lail S, Mehta AV. Urokinase treatment of neonatal aortoiliac thrombosis caused by umbilical artery catheterization: a case report. Journal of vascular surgery 1991. link 81 Dujardin P, Lavigne JP, Defraigne JO, Horion C, Creemers E, Limet R. Axillounifemoral and axillobifemoral bypasses. Retrospective study of 85 cases. Acta chirurgica Belgica 1991. link 82 Hirt SW, Dosis D, Siclari F, Rohde R, Haverich A. Collagen-presealed or uncoated aortic bifurcation Dacron prostheses: a 5-year clinical follow-up study. The Thoracic and cardiovascular surgeon 1991. link 83 Harris EJ, Taylor LM, McConnell DB, Moneta GL, Yeager RA, Porter JM. Clinical results of axillobifemoral bypass using externally supported polytetrafluoroethylene. Journal of vascular surgery 1990. link 84 Davies AH, Ramarakha P, Collin J, Morris PJ. Recent changes in the treatment of aortoiliac occlusive disease by the Oxford Regional Vascular Service. The British journal of surgery 1990. link 85 van den Akker PJ, Brand R, van Schilfgaarde R, van Bockel JH, Terpstra JL. False aneurysms after prosthetic reconstructions for aortoiliac obstructive disease. Annals of surgery 1989. link 86 Widdershoven RM, LeVeen HH. Closed endarterectomy. Preferred operation for aortoiliac occlusive disease. Archives of surgery (Chicago, Ill. : 1960) 1989. link 87 Sacks D, Miller J. Ureteral leak around an aortic bifurcation graft: complication of ureteral stenting. The Journal of urology 1988. link42095-7) 88 Friedman SG, Batista RJ, Moccio CG. Aortoiliac reconstruction in obese patients. Surgery 1988. link 89 Hepp W, de Jonge K, Pallua N. Late results following extra-anatomic bypass procedures for chronic aortoiliac occlusive disease. The Journal of cardiovascular surgery 1988. link 90 Cina C, Ameli FM, Kalman P, Provan JL. Indications and role of axillofemoral bypass in high-risk patients. Annals of vascular surgery 1988. link60008-9) 91 D'Amour ML, Lebrun LH, Rabbat A, Trudel J, Daneault N. Peripheral neurological complications of aortoiliac vascular disease. The Canadian journal of neurological sciences. Le journal canadien des sciences neurologiques 1987. link 92 Burke PM, Herrmann JB, Cutler BS. Optimal grafting methods for the small abdominal aorta. The Journal of cardiovascular surgery 1987. link 93 Kalman PG, Hosang M, Johnston KW, Walker PM. The current role for femorofemoral bypass. Journal of vascular surgery 1987. link 94 Reddy DJ, Vincent GS, McPharlin M, Ernst CB. Limitations of the femoral artery pulsatility index with aortoiliac artery stenosis: an experimental study. Journal of vascular surgery 1986. link 95 Jørgensen JJ, Stranden E, Gjølberg T. The femoral arterial flow velocity pattern in patients with aortoiliac atherosclerosis. Studies with a pulsed Doppler ultrasound flowmeter. Acta chirurgica Scandinavica 1986. link 96 Szilagyi DE, Elliott JP, Smith RF, Reddy DJ, McPharlin M. A thirty-year survey of the reconstructive surgical treatment of aortoiliac occlusive disease. Journal of vascular surgery 1986. link 97 Robicsek F, Daugherty HK, Cook JC, Selle JG, Hess PJ, Burtoft J et al.. Patency rate of bifurcated aortic grafts: comparative analysis of woven versus knitted prostheses in the same patient. The Annals of thoracic surgery 1985. link60013-6) 98 Padberg FT, Hobson RW, Lynch TG, Lee BC, Jamil Z. Simultaneous determination of brachial and femoral arterial pressures during reactive hyperemia and papaverine vasodilation. The American surgeon 1985. link 99 Nevelsteen A, Vandermast M, Suy R, Daenen W, Stalpaert G. The patient's perspectives after aortofemoral grafting for occlusive disease. International angiology : a journal of the International Union of Angiology 1985. link 100 McCroskey BL, Iliopoulos JI, Keushkerian SM, Thomas JH, Hermreck AS, Pierce GE. Ultrasonographic and angiographic evaluation of polytetrafluoroethylene aortic bifurcation grafts. American journal of surgery 1985. link90424-6)