Hybrid Revascularization for Extensive Iliofemoral Occlusive Disease

Santos, J. Serna; Laukontaus, S.; Laine, M.; Pellicer, P. Valledor; Sonetto, Alessia; Venermo, Maarit; Aho, Pekka-Sakari

doi:10.1016/j.avsg.2022.07.028

Cited by 3 publications

(3 citation statements)

References 33 publications

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“…While endovascular interventions have a large share among conventional open surgical methods for treating iliofemoral occlusive disease, as it became preferred by cardiovascular surgeons [6], a new paradigm shift has emerged and paved the way for hybrid-based approach as open surgical femoral endarterectomy with endovascular in-flow recanalization [7]. The aim of this study was to further explain a less invasive procedure that has been approved safe in treating severe occlusions in iliac artery [4].…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, nowadays, simultaneous multilevel hybrid-based reconstructions using both endovascular and open femoral endartectomy merit the interest with the widespread adoption of these techniques by vascular surgeons, in treating transatlantic inter society consensus (TASC) II classification C and D type lesions with favorable outcomes. European Guidelines on Peripheral Artery Diseases (2017) also support a hybrid approach in iliofemoral lesions [4].…”

Section: Introductionmentioning

confidence: 99%

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Hybrid-based approach for pervasive occlusive disease of iliofemoral arteries

Saricaoglu,

Ozcinar

2023

Turk J Vasc Surg

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Aim: Simultaneous multilevel hybrid-based reconstructions using both endovascular and open femoral endartectomy merit the interest with the widespread adoption of these techniques by vascular surgeons. Here we presented our experience on hybrid-based approach to treat total occlusive iliofemoral lesions and study the technical success and mid-term results of combined femoral endarterectomy and endovascular treatment of iliac occlusion. Material and Methods: This retrospective single center study included patients with only total occlusion in the unilateral iliac artery. The patients underwent hybrid procedure–open femoral endarterectomy and endovascular revascularization of the external or common iliac artery- between 2016 and 2022. Statistical analysis was performed by using SPSS software version 25. Results: Totally 103 patients who underwent hybrid procedures for pervasive unilateral iliac artery occlusions were included in this study. Of the study cohort, 76% were male patients with a mean age of 74±8.7 years. Technical success rate was 89.3%. Acute myocardial infarction was the most common complication. The 30-day mortality was 7.8% (n=8) and all of them were in-hospital deaths. The survival rates of this cohort at 30 days, 6 months and 12 months were 92.2%, 88.1% and 83.7%, respectively. The primary patency at 30 days, 6 months, and 12 months were 98.1%, 96.6%, and 93.7%, respectively. Conclusion: The clinical and technical outcomes in this study suggest that the hybrid approach to pervasive iliofemoral occlusions, combining femoral endarterectomy and endovascular iliac revascularization, is an effective and applicable treatment in terms of patency rates and perioperative complications.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Hybrid-based approach for pervasive occlusive disease of iliofemoral arteries

Saricaoglu,

Ozcinar

2023

Turk J Vasc Surg

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“…The so called "hybrid approach" has been considered as an effective technique for reconstruction of multilevel arterial stenosis or occlusion. The simultaneous combined techniques have shown satisfactory outcomes in terms of patency, technical success and less invasiveness in high-risk patients 6 .…”

Section: Introductionmentioning

confidence: 99%

Hybrid Revascularization by Common Femoral Artery Endarterectomy and Proximal or Distal Angioplasty in Patients with Critical Lower Limb Threatening Ischemia

Labeb,

Fekry

2024

Medicine Updates

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Background: Hybrid approach has been considered as an effective technique for reconstruction of multi-level arterial stenosis or occlusion. The simultaneous combined techniques have shown satisfactory outcomes in terms of patency, technical success and less invasiveness in high-risk patients. The purpose of this study to compare CFA endarterectomy (CFE) combined with either proximal or distal endovascular intervention or both. Methods: retrospective study of prospectively collected data of patients presented with critical limb threatening ischemia (CLTI) with multi-level peripheral arterial disuses include femoral territory and proximal and/or distal arterial disease. All patients had CFE and endovascular intervention at Egypt healthcare authority hospitals. Results: this study included 30 patients stratified into three groups according to the site of concurrent endovascular intervention; group 1 had proximal endovascular intervention (n=7); group 2 had distal endovascular intervention (n=12); and group 3 with combined proximal and distal intervention (n = 11), 100% technical success reported with overall primary patency at 24 months of 85%. Limb salvage at 24 months was 92.5%. Conclusion: Common femoral endarterectomy is the gold standard treatment for common femoral artery lesions with excellent patency. In multi-level peripheral arterial disease, the endovascular intervention could improve the outcome and maintain patency and limb salvage.

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