Ilioiliac crossover graft: Revival of an old technique – A report of two cases

Abstract

Surgical management of unilateral iliac artery occlusion commonly involves a femorofemoral graft or an aortofemoral graft. We report two cases of atherosclerotic common iliac artery occlusion, one on the left and another on the right, wherein we did a crossover graft to the external iliac artery from the opposite common iliac artery through a single skin incision. The approach and graft placement in both the cases were completely retroperitoneal. Both these patients had an adequate recovery with complete relief of symptoms. This approach has the benefit of avoiding multiple incisions and incisions in the groin area, which tends to get infected easily and is associated with other complications such as lymphorrhea.

Keywords

• Crossover graft
• iliac artery
• unilateral inflow obstruction