Hybrid Endovascular and Open Arterial Reconstruction for Multisegmental Arterial Occlusive Disease in a Lower Extremity

• Published in: Japanese Journal of Vascular Surgery Vol. 21; no. 4; pp. 589 - 593
• Main Authors: Igari, Kimihiro, Kudo, Toshifumi, Toyofuku, Takahiro, Nishizawa, Masato, Uchiyama, Hidetoshi, Koizumi, Shinya, Yonekura, Koji, Jibiki, Masatoshi, Sugano, Norihide, Inoue, Yoshinori
• Format: Journal Article
• Language: Japanese
• Published: JAPANESE SOCIETY FOR VASCULAR SURGERY 25.06.2012
• Subjects: Aortoiliac occlusive disease; Hybrid vascular reconstruction; Peripheral arterial disease
• ISSN: 0918-6778; 1881-767X
• DOI: 10.11401/jsvs.21.589

Objective: To evaluate the feasibility and efficacy of simultaneous combined endovascular and open lower extremity arterial reconstruction. Patients and Methods: Between April 2008 and March 2011, 16 patients (17 limbs) underwent hybrid therapy. The patients comprised 13 men and 3 women, with an average age of 73 years. The treatment outcomes included incidence of postoperative complications, postoperative mortality and patency. Results: The technical and clinical success rates were 100% and 88%, respectively. There was no perioperative mortality. The primary patency, assisted primary patency, secondary patency and limb salvage rates at 24 months were 73%, 100%, 100% and 100%, respectively, in Fontaine stage II, and 50%, 83%, 83% and 83%, respectively in Fontaine stage III and IV patients. Conclusions: Hybrid procedures provide safe and effective treatment for multilevel lower extremity arterial disease.