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[Hybrid operative interventions in patients with multi-level atherosclerotic lesions of lower-limb arteries]

A A Karpenko, V B Starodubtsev, P V Ignatenko

    Angiologiia I Sosudistaia Khirurgiia = Angiology and Vascular Surgery
    |June 26, 2014
    PubMed

    Insights

    Hybrid surgical interventions for aortoiliac and infrainguinal steno-occlusive lesions in 96 patients with chronic lower limb ischemia showed low immediate complication rates. Long-term follow-up revealed graft and stented segment thrombosis in some cases, necessitating limb amputation in 6.7%.

    Area of Science:

    • Vascular Surgery
    • Interventional Cardiology

    Context:

    • Chronic lower limb ischemia due to multi-level steno-occlusive disease requires complex treatment strategies.
    • Hybrid surgical interventions combine open and endovascular techniques for comprehensive revascularization.

    Purpose:

    • To evaluate the outcomes of hybrid surgical interventions for multi-level aortoiliac and infrainguinal steno-occlusive lesions.
    • To assess the safety and efficacy of these procedures in patients with chronic lower limb ischemia.

    Summary:

    • Ninety-six patients with chronic lower limb ischemia underwent hybrid procedures for aortoiliac and infrainguinal lesions.
    • Immediate postoperative complications included hematomas (9.4%) and lymphorrhea (6.3%), with no in-hospital mortality.
    • Long-term follow-up (6-53 months) in 75 patients showed bypass graft thrombosis (6 cases) and stented iliac segment thrombosis (3 cases), leading to amputation in 5 patients (6.7%).

    Impact:

    • Hybrid interventions offer a viable option for complex lower limb ischemia, though long-term patency and limb salvage rates require careful monitoring.
    • This study contributes to understanding the risks and benefits of hybrid approaches in managing advanced peripheral artery disease.

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