Hybrid vs. Open Surgical Reconstruction for Iliofemoral Occlusive Disease: A Prospective Randomised Trial

Starodubtsev, V.; Mitrofanov, V.; Ignatenko, P.; Гостев, А. А.; Preece, R.; Rabtsun, Artem; Saaya, S.; Popova, I.; Karpenko, A.

doi:10.1016/j.jvs.2022.03.025

Cited by 2 publications

(3 citation statements)

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“…This improvement reflected a hemodynamic successful intervention by reporting standards which are likely to correlate with the literature [18,19]. A prospective randomised trial showed a significant ABI improvement in all patients [20].…”

Section: Discussionmentioning

confidence: 56%

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: 56%

Hybrid-based approach for pervasive occlusive disease of iliofemoral arteries

Saricaoglu,

Ozcinar

2023

Turk J Vasc Surg

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“…• All patients presented with critical limb ischemia ranging from rest pain, minor tissue loss, and gangrene according to Rutherford classification class (3)(4).…”

Section: Inclusion Criteriamentioning

confidence: 99%

“…With its crush resistance (if properly implanted), the vascular mimetic implant SUPERA Peripheral Stent System (Abbott Vascular) appears to be an effective tool for dealing with eccentric calcified plaques, crush danger, and maintaining access options. 3…”

Section: Introductionmentioning

confidence: 99%

Pure Endovascular versus Hybrid Approach for Management of Iliofemoral Arterial Disease: A Randomized Controlled Trial

et al. 2022

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Common femoral artery (CFA) atherosclerotic lesions currently remain one of the last limitations for adoption of endovascular repair as the first-line treatment, easy surgical accessibility, and, last but not least, favorable long-term outcomes, still making CFA disease treatment part of the surgical domain. In the last 5 years, improvement of the endovascular equipment and technical skills of the operators have led to an increase in percutaneous CFA procedures.A single-center randomized prospective study of 36 symptomatic (Rutherford 2–4) CFA stenotic or occlusive lesions were included, and patients were randomized over two groups based on the management approach SUPERA versus hybrid technique.Patients had a mean age 60.8 ± 8.2 years. Thirty-two (88.9%) patients reported improvement of the clinical symptoms, 28 (87.5%) patients had intact pulse postoperatively, and 28 (87.5%) had patent vessels. Follow-up showed that none developed reocclusion or restenosis during the period of follow-up. Comparison of difference in peak systolic velocity ratio (PSVR) among study groups showed that the hybrid technique had more reduction of PSVR postintervention compared to the SUPERA group with a p-value of < 0.0001.Safety and feasibility of endovascular approach with the SUPERA stent to the CFA (no stent zone) has low incidence of postoperative morbidity and mortality in well experienced surgical hands.

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Hybrid vs. Open Surgical Reconstruction for Iliofemoral Occlusive Disease: A Prospective Randomised Trial

Cited by 2 publications

References 0 publications

Hybrid-based approach for pervasive occlusive disease of iliofemoral arteries

Hybrid-based approach for pervasive occlusive disease of iliofemoral arteries

Pure Endovascular versus Hybrid Approach for Management of Iliofemoral Arterial Disease: A Randomized Controlled Trial

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