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Article

Simultaneous hybrid revascularization for symptomatic lower extremity arterial occlusive disease

  • Authors:
    • Jin Hyun Joh
    • Sun-Hyung Joo
    • Ho‑Chul Park
  • View Affiliations / Copyright

    Affiliations: Department of Surgery, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, Seoul 134‑727, Republic of Korea
  • Pages: 804-810
    |
    Published online on: January 29, 2014
       https://doi.org/10.3892/etm.2014.1513
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Abstract

Multilevel revascularization, using a combination of endovascular and open (hybrid) surgery, is increasingly being used. Hybrid surgery allows complex anatomy to be treated by minimally invasive procedures in medically high risk patients. The aim of the present study was to report a novel hybrid surgery for lesions in the multilevel lower extremity arteries and to evaluate the clinical outcomes. Consecutive patients who presented at a single institution between March 2009 and Feburary 2012 were selected for inclusion in the study. The patients had disabling claudication or critical limb ischemia and underwent treatment for revascularization by open surgery or by a combination of open surgery and endovascular procedure. Retrospective analysis was conducted from a prospectively collected database. All procedures were performed by a vascular surgeon in an operating room. Postoperative surveillance in outpatient clinics was conducted at 3 and 6 months and every 6 months thereafter. A total of 76 patients were included in the study with a mean age of 67.1±11.3 years (range, 42‑94 years) and the male to female ratio was 67:9. The most common indication for revascularization was Rutherford category IV (resting pain). The immediate technical success rate of hybrid surgery was 90.5%, with an overall limb salvage rate of 97.4%. The primary patency rates of the hybrid and open groups were 100 and 90.9%, respectively (P=0.441). Therefore, the results of the present study indicate that hybrid surgery is a feasible option for the treatment of multilevel peripheral arterial occlusive disease, showing favorable patency and limb salvage rates. These observations indicate that femoral endarterectomy plays a vital role in hybrid surgery.
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Copy and paste a formatted citation
Spandidos Publications style
Joh JH, Joo S and Park HC: Simultaneous hybrid revascularization for symptomatic lower extremity arterial occlusive disease. Exp Ther Med 7: 804-810, 2014.
APA
Joh, J.H., Joo, S., & Park, H. (2014). Simultaneous hybrid revascularization for symptomatic lower extremity arterial occlusive disease. Experimental and Therapeutic Medicine, 7, 804-810. https://doi.org/10.3892/etm.2014.1513
MLA
Joh, J. H., Joo, S., Park, H."Simultaneous hybrid revascularization for symptomatic lower extremity arterial occlusive disease". Experimental and Therapeutic Medicine 7.4 (2014): 804-810.
Chicago
Joh, J. H., Joo, S., Park, H."Simultaneous hybrid revascularization for symptomatic lower extremity arterial occlusive disease". Experimental and Therapeutic Medicine 7, no. 4 (2014): 804-810. https://doi.org/10.3892/etm.2014.1513
Copy and paste a formatted citation
x
Spandidos Publications style
Joh JH, Joo S and Park HC: Simultaneous hybrid revascularization for symptomatic lower extremity arterial occlusive disease. Exp Ther Med 7: 804-810, 2014.
APA
Joh, J.H., Joo, S., & Park, H. (2014). Simultaneous hybrid revascularization for symptomatic lower extremity arterial occlusive disease. Experimental and Therapeutic Medicine, 7, 804-810. https://doi.org/10.3892/etm.2014.1513
MLA
Joh, J. H., Joo, S., Park, H."Simultaneous hybrid revascularization for symptomatic lower extremity arterial occlusive disease". Experimental and Therapeutic Medicine 7.4 (2014): 804-810.
Chicago
Joh, J. H., Joo, S., Park, H."Simultaneous hybrid revascularization for symptomatic lower extremity arterial occlusive disease". Experimental and Therapeutic Medicine 7, no. 4 (2014): 804-810. https://doi.org/10.3892/etm.2014.1513
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