Role of simple and complex hybrid revascularization procedures for symptomatic lower extremity occlusive disease

Abstract

Complex and simple hybrid procedures enable multilevel revascularizations in high-risk patients with comparable patency and limb salvage. Femoral endarterectomy plays a central role, especially in complex hybrid repairs. An increase in perioperative morbidity and mortality was observed in the hybrid group, likely due to attempting revascularization in higher risk patients.

Percutaneous transluminal angioplasty/stent treatment of totally occlusive iliofemoral artery with limb ischemia: Experience of surgical team

“…In the elderly and in patients with significant comorbidities, a hybrid procedure may be more advisable, as the patency rates are comparable with open or endovascular revascularization and reduce early mortality and morbidity. [17,18] Eight limbs (17.8%) of five patients who previously underwent bypass graft surgery were the most challenging patients in our series. We performed the hybrid procedure, as neither redo operation nor the endovascular treatment alone was appropriate to these patients.…”

Surgical Treatment of Atherosclerotic Lesion of Iliac Arteries by Method of Loop Endarterectomy

“…Сердечно-сосудистые заболевания / Cardiovascular medicine В настоящее время во всем мире для лечения ате-росклеротических поражений подвздошных арте-рий все шире применяются эндоваскулярные вме-шательства, включающие баллонную дилятацию и стентирование [1,2,3,4,5,6,7,8,9,10,11,12]. Однако наряду с ними существует другой малотравматич-ный способ лечения, приобретающий все большую популярность -эндартерэктомия при помощи раз-личных петель и колец (ПЭАЭ).…”

Critical Lower Limb Ischemia, Hybrid Procedures and the Need for Special Hybrid Theatres

“…Hybrid procedures have been reported to have primary success rates ranging from 93% to 100% [2,5,6]. Outcomes of hybrid endovascular procedures are comparable to pure surgical interventions.…”

“…Outcomes of hybrid endovascular procedures are comparable to pure surgical interventions. Hybrid procedures have patency rates of 60 to 90 percent and are associated with lower morbidity and mortality and shorter hospital and intensive care stay [1,2,5,6]. However there are reports suggesting higher morbidity rates in hybrid endovascular procedures when compared to pure endovascular interventions [2].…”