Current Hybrid Interventions in Vascular Surgery: Merging Past and Present

Jennifer Huffman1, W Kirt Nichols2, Jonathan Bath3

  • 1Third year general surgery resident, University of Missouri-Columbia School of Medicine, Columbia, Missouri.

Missouri Medicine
|August 10, 2021
PubMed

Insights

Vascular surgeons increasingly manage complex vascular disease using hybrid interventions, combining open surgery and endovascular techniques for procedures like femoral endarterectomy and mesenteric stenting.

Area of Science:

  • Vascular Surgery
  • Interventional Cardiology
  • Endovascular Techniques

Background:

  • The aging US population is experiencing a rise in vascular disease prevalence.
  • Endovascular techniques have dominated vascular disease management for three decades.
  • Open surgical operations remain crucial for complex vascular conditions.

Purpose of the Study:

  • To provide an updated review of hybrid interventions in vascular surgery.
  • To discuss the application of hybrid approaches in specific vascular procedures.

Main Methods:

  • Review of current literature and clinical practices regarding hybrid interventions.
  • Focus on hybrid techniques for femoral endarterectomy and peripheral stenting.
  • Examination of retrograde open mesenteric stenting procedures.

Main Results:

  • Hybrid interventions offer a versatile approach to complex vascular disease.
  • Specific techniques discussed demonstrate the utility of combining open and endovascular methods.
  • These approaches address challenging anatomical or pathological scenarios.

Conclusions:

  • Hybrid interventions represent a significant advancement in vascular surgery.
  • They expand treatment options for complex femoral and mesenteric vascular diseases.
  • Continued evolution of hybrid techniques is expected in vascular disease management.

Related Concept Videos

Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
78
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
72
Varicose Veins II: Diagnostic Studies and Interprofessional Care01:26

Varicose Veins II: Diagnostic Studies and Interprofessional Care

Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...
55