Simultaneous hybrid revascularization for symptomatic lower extremity arterial occlusive disease
Jin Hyun Joh1, Sun-Hyung Joo1, Ho-Chul Park1
1Department of Surgery, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, Seoul 134-727, Republic of Korea.
Experimental and Therapeutic Medicine
|March 27, 2014
Summary
Hybrid surgery, combining endovascular and open procedures, offers a viable solution for multilevel lower extremity arterial disease. This approach demonstrates high technical success, excellent limb salvage, and favorable patency rates, making it a valuable treatment option.
Area of Science:
- Vascular Surgery
- Endovascular Therapy
- Peripheral Arterial Disease
Background:
- Multilevel revascularization is increasingly utilized, often employing hybrid surgical techniques.
- Hybrid surgery enables minimally invasive treatment of complex arterial anatomy in high-risk patients.
Purpose of the Study:
- To report a novel hybrid surgical approach for multilevel lower extremity arterial lesions.
- To evaluate the clinical outcomes of this hybrid surgical technique.
Main Methods:
- Retrospective analysis of a prospectively collected database of 76 patients (March 2009-February 2012).
- Patients presented with disabling claudication or critical limb ischemia (Rutherford category IV most common).
- Procedures involved open surgery or a combination of open and endovascular techniques performed by a vascular surgeon.
Main Results:
- Immediate technical success rate for hybrid surgery was 90.5%.
- Overall limb salvage rate was 97.4%.
- Primary patency rates were 100% for the hybrid group and 90.9% for the open group (P=0.441).
Conclusions:
- Hybrid surgery is a feasible and effective option for treating multilevel peripheral arterial occlusive disease.
- The technique demonstrates favorable patency and limb salvage rates.
- Femoral endarterectomy is a key component in successful hybrid surgical procedures.
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