New paradigms in minimally-invasive vascular surgery

Galyfos, George; Liakopoulos, Dimitris; Sigala, Frangiska; Filis, Konstantinos

doi:10.1080/14779072.2022.2058492

Cited by 3 publications

(5 citation statements)

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“…The main aim of performing minimally invasive vascular procedures has always been to minimize perioperative mortality and morbidity as well as to accelerate rehabilitation and return to everyday activities for the patients. Such techniques may include endovascular or hybrid procedures, laparoscopic approaches as well as robot-assisted techniques ( 1 ).…”

Section: Editorialmentioning

confidence: 99%

“…Hybrid techniques also combine the advantages of both open and endovascular approaches offering the possibility to treat complex cases without the need of extended open procedures ( 1 ). Park et al describe such a case suffering from Ehlers-Danlos syndrome that presented with a dissecting aneurysm of the right iliac artery and an arteriovenous fistula between the left internal iliac artery and common iliac vein.…”

Section: Editorialmentioning

confidence: 99%

Section: Editorialmentioning

confidence: 99%

“…Besides the aforementioned achievements, several other studies have been published showing the progress in minimally invasive vascular surgery (MIVS) ( 1 ). MIVS also includes techniques that refer to: the endovascular repair of complex aortic aneurysms using fenestrated endografts, the endovascular therapy of peripheral artery disease using novel atherectomy or reentry devices, robot-assisted vascular or endovascular procedures, hybrid repair such as transcarotid stenting for carotid artery stenosis and others ( 1 , 5 , 6 ). Besides the well-known advantages, physicians should also focus on the limitation of risks associated with the aforementioned MIVS procedures such as the risk for spinal cord ischemia, endoleaks, fracture or occlusion of stents or branches, migration of grafts or stents, reduced long-term patency compared to open surgery, contrast-mediated renal insufficiency and others, in order to maximize their benefit ( 7 , 8 ).…”

Section: Editorialmentioning

confidence: 99%

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Editorial: Minimally invasive vascular surgery

Galyfos,

Katsargyris,

Liakopoulos

et al. 2024

Front. Surg.

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Section: Editorialmentioning

confidence: 99%

Section: Editorialmentioning

confidence: 99%

Section: Editorialmentioning

confidence: 99%

Section: Editorialmentioning

confidence: 99%

See 2 more Smart Citations

Editorial: Minimally invasive vascular surgery

Galyfos,

Katsargyris,

Liakopoulos

et al. 2024

Front. Surg.

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“…In 2010, it was estimated that > 200 million people worldwide were living with peripheral arterial disease [1][2][3]. This represents an increase of 23.5 % since 2000, an increase thought to be largely due to aging populations and the increasing prevalence of risk factors, particularly diabetes mellitus [4][5][6][7][8]. Although chronic limb-threatening ischemia is widely believed to be a growing global public health problem, reliable epidemiologic data are extremely limited [4,9].…”

Section: Introductionmentioning

confidence: 99%

Hybrid Vascular Approach Reduces the Intensive Care Unit Stay in Patients With Chronically Threatening Limb Ischemia and Multilevel Atherosclerotic Lesions

Barat,

Turcan,

Manica

et al. 2024

Neonatol. hìr. perinat. med.

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Chronic limb-threatening ischemia represents the fi nal stage of atherosclerosis and is often associated with signifi cantcardiovascular morbidity leading to high mortality. The hybrid approach combines surgical and endovascular techniques toachieve maximal revascularization of multilevel atherosclerotic lesions in the lower limb, with a shorter procedure time and less trauma compared to the classical method. It is also expected to reduce the length of hospital stay.The aim of the study is to analyze the relationship between the hybrid approach and the length of stay in the intensive careunit (ICU) compared to the classical vascular surgical approach in patients with chronic limb-threatening ischemia, multilevel atherosclerosis and high anesthesiological risk. Another endpoint is to compare the total ventilation time in the two groups.Material and methods. The study compares ICU length of stay and total mechanical ventilation time between two groups –a prospective group (n=48) of patients treated with hybrid revascularization and a control group (n=50) treated with classicalvascular revascularization. Patients included had multi- level atherosclerotic lesions (aorta- iliac, femur- popliteal and outfl ow) and chronic limb-threatening ischemia (Fontaine Grade III and IV). A database was created with subsequent statistical analysis using «SPSS» software. Tests used: Chi-square, p-value, frequencies. The chi-squared test was considered valid if the test statistic is chi-squared distributed under the null hypothesis, specifi cally Pearson’s chi-squared test. If the null hypothesis that there are no diff erences between classes in the population is true, the test statistic calculated from the observations follows a χ2 frequency distribution. If the p-value is greater than alpha, then we have not rejectedthe null hypothesis and assume that there is no signifi cant diff erence between the two samples. We set the signifi cance level at 0.05. The study protocol was approved by the Commission on Biomedical Ethics of the Bukovinian State Medical University (minutes of the Commission meeting No 4 from the 19.12.2023 year). The theme of the complex research work «Development, justifi cation and implementation of new approaches to the diagnosis and treatment of some acute surgical diseases, prediction of their course and prevention of complications (state registration number: 0121U110501, terms of execution: 01.2021-12.0225).Results. ICU length of stay and total ventilation time were analyzed in the two groups. Both ICU and total ventilation timeswere shorter with statistical signifi cance in the hybrid approach group. Therefore, the use of hybrid revascularization contributes to an accelerated stabilization of the patient’s condition. Therefore, the use of the hybrid vascular approach contributes to an accelerated stabilization of the patient’s condition. This reduces the duration of treatment, the cost of treatment. So, hybrid vascular approach is a promising way to treat limb ischemia. This approach needs further implementation in practice. The novelty added by the manuscript to the already published scientifi c literature: Hybrid revascularization itself represents a relatively new type of treatment for patients with multilevel atherosclerotic lesions. The analysis of the length of stay in the intensive care unit of patients undergoing hybrid revascularization compared to classic surgical revascularization adds to the current literature.Conclusions. ICU length of stay for patients with chronic limb-threatening ischemia and multilevel atherosclerosis, as wellas total mechanical ventilation time, is shorter with statistical signifi cance when hybrid revascularization is used compared with traditional vascular surgery.

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