[Mini-invasive operations in patients with vessels diseases]

Area of Science:

• Cardiovascular Surgery
• Vascular Surgery
• Interventional Cardiology

Background:

• Hybrid operations, combining open and endovascular techniques, have been utilized in cardiovascular surgery for 10-15 years.
• These hybrid approaches are increasingly employed for complex cardiovascular diseases, particularly involving the aorta and its branches.
• Patients with severe comorbidities often face high risks with traditional open surgical procedures.

Purpose of the Study:

• To evaluate the efficacy of hybrid operations and endovascular aneurysm repair in patients with abdominal aortic aneurysms and severe comorbidities.
• To assess the impact of these minimally invasive techniques on complication rates and mortality.
• To demonstrate the feasibility of hybrid approaches when open surgery is contraindicated due to patient comorbidities.

Main Methods:

• The study involved performing 10 hybrid surgeries and 7 endovascular abdominal aortic aneurysm repairs.
• Patient selection criteria focused on individuals with severe comorbidities that posed significant risks for open surgery.
• Outcomes were assessed based on complication frequency and mortality rates.

Main Results:

• Hybrid operations and endovascular aneurysm repair were successfully performed in patients with severe comorbidities.
• The introduction of these techniques led to a decrease in the frequency of complications.
• No deaths were recorded among the operated patients, indicating successful management of high-risk cases.

Conclusions:

• Hybrid operations and endovascular aneurysm repair are effective strategies for managing complex aortic diseases in high-risk patients.
• These advanced surgical methods significantly reduce complications and mortality compared to traditional open surgery.
• Hybrid techniques provide a viable and safer alternative for patients with abdominal aortic aneurysms and severe comorbidities, previously considered inoperable.