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Published on: May 26, 2023
Intentional single-stage revascularization of two different vascular beds in patients with vascular multimorbidity; a
Peter Lanzer1, Ralf Weser, Christiane Prettin
1Department of Internal Medicine, Hospitals and Clinics, Bitterfeld/Wolfen gGmbH, Friedrich-Ludwig-Jahn Strasse 2, 06749, Bitterfeld, Germany. ca.lanzer@kh-bitterfeld-wolfen.de
Aims:
The aim of this retrospective study was to assess the feasibility of catheter-based interventions in two different vascular beds performed in a single stage in patients with vascular multimorbidity.
Methods And Results:
Fifty patients, 28 males, mean age 68.6 (+/- 9.2) years and 22 females, mean ages 72.2 (+/- 6.4) years were studied. At least one major cardiovascular risk factor was present in 48 (94%) of all patients. The most frequent combination of interventions was coronary artery disease (CAD) and renovascular disease (RVD) (20 patients, 40%) followed by CAD and peripheral artery disease (PAD) (17 patients, 34%). In all patients technical success, defined as residual stenosis < or = 30% diameter, and procedural success, defined as lack of major adverse cardiac and cerebrovascular events (MACCE) during the in-hospital period, were achieved. In two patients surgical revision of the access site was required and in two additional patients minor local bleeding was observed.
Conclusions:
Sequential vascular interventions in different vascular beds may be performed in a single stage with high success rates, however, compared to historical controls possibly at a higher rate of access site complications. A larger study using controls is needed to assess the medical benefits and cost efficacy of a single stage approach in patients with clinically relevant vascular multimorbidity.
