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1 . 2026

Complications of loop endarterectomy in operations on the iliofemoral segment: causes and solutions

Abstract

Despite good immediate and remote results of endovascular treatment of patients with atherosclerotic lesions of the iliofemoral segment, involvement of the common femoral artery and the distal segment of the external iliac artery is often an argument in favor of open or hybrid surgery. Loop endarterectomy for this type of lesion has been successfully used for many years. However, unresolved problems remain that cause technical failure of the intervention and/or the development of intraoperative complications.

The article presents an analysis of potential complications of the procedure and the causes of their occurrence, preventive measures and possible elimination from the perspective of various authors and our own experience. Besides, we herein describe two clinical cases accompanied by the development of such intraoperative complication as iliac artery perforation requiring immediate management.

Keywords: loop endarterectomy; complications; stenting; endoprosthetics; hybrid interventions

Funding. The study had no financial support.

Conflict of interest. The authors declare no conflicts of interest.

Authors’ contribution. Study conception and design – Magomadov Ya.U., Fataliev G.B., Parkin P.N.; data collection and handling – Magomadov Ya.U., Fataliev G.B.; statistical processing – Fataliev G.B., Sidorova A.V.; draft manuscript preparation – Magomadov Ya.U., Parkin P.N.; manuscript revision – Shubin A.A., Karpov A.A.

For citation: Fataliev G.B., Karpov A.A., Magomadov Ya.U., Parkin P.N., Sidorova A.V., Shubin A.A. Complications of loop endarterectomy in operations on the iliofemoral segment: causes and solutions. Angiology and Vascular Surgery. Journal named after Academician A.V. Pokrovsky. 2026; 32 (1): 113–21. DOI: https://doi.org/10.33029/1027-6661-2026-32-1-113-121

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CHIEF EDITOR
CHIEF EDITOR
Yuri V. Belov
Academician of the Russian Academy of Sciences Doctor of Medical Sciences, Professor, President of the Russian Society of Angiologists and Vascular Surgeons

 

In accordance with the decision of the Presidium of the Russian Society of Angiologists and Vascular Surgeons, the journal "Angiology and Vascular Surgery" will be named after Academician A.V. Pokrovsky starting from No. 2/2022.

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