Our Hybrid Approach in the Treatment of Peripheral Vascular Diseases
1University of Health Sciences Turkey, Prof. Dr. Cemil Taşçıoğlu City Hospital, Clinic of Cardiovascular Surgery, İstanbul, Turkey
Eur Arch Med Res 2021; 37(3): 158-161 DOI: 10.4274/eamr.galenos.2020.69672
Full Text PDF

Abstract

Objective: Peripheral arterial disease is a critical health problem with an incidence of approximately 13% in the population over 50 years of age. Although endovascular interventions provide successful results as sole treatment in many patients, concomitant surgical interventions may be necessary to provide complete revascularization of the target extremities in complex peripheral vascular disease cases. In this study, we aimed to present the early results of 21 patients who underwent hybrid peripheral vascular intervention

Methods: Twenty one patients who underwent hybrid procedures for peripheral arterial disease between January 2018 and June 2018 were included in the study. One of the patients underwent an open surgery primarily, and the endovascular intervention was applied after 1 month of surgery. Endovascular and surgical procedures were performed simultaneously in all other patients.

Results: Fifteen patients were male (71.4%), and 6 were female (28.6%). The mean age of patients was 61.95±7.88 [mean ± standard deviation/standard error of mean (SD/SEM)] years, with an age range of 52-75 years. The average ankle-brachial index of the targeted extremity was 0.25±0.12 (mean ± SD/SEM).

Conclusion: The hybrid procedures provided the best benefit possible for the complex arterial lesions with increased inflow and distal flow.