Analýza výsledků hybridních revaskularizačních výkonů pro multietážové postižení tepenného systému dolních končetin - výsledky jednoho centra

Title in English The use of hybrid revascularization procedures for the therapy of multilevel lower extremity arterial disease - analysis of single center experience


Year of publication 2015
Type Article in Periodical
Magazine / Source Rozhledy v chirurgii
MU Faculty or unit

Faculty of Medicine

Field Surgery incl. transplantology
Keywords hybrid procedure; transluminal angioplasty; open vascular procedure; lower extremity ischemia
Description Introduction: The goal of this study was to evaluate our experience and results of single staged hybrid procedures for revascularization of lower extremities affected by multilevel arterial occlusive disease. We analysed the effect of the indication and type of reconstruction on patency. Method: Patients were retrospectively reviewed. Data collection was conducted prospectively. Patients were divided into 5 groups based on the type of hybrid reconstruction. Group "1" included patients who underwent transluminal angioplasty (TA) ± stenting of iliac arteries with endarterectomy (EA) and patch arterioplasty of the femoral bifurcation (35 patients; 27.6%). Group "2"included patients who underwent TA ± stenting of iliac arteries with infrainguinal bypass (15 patients; 11.8%). Group "3"consisted of patients who underwent TA ± stenting of outflow lower extremity arteries: superficial femoral artery ± popliteal artery ± crural arteries in combination with EA and patch arterioplasty of the femoral bifurcation (52 patients; 40.9%). Group "4" represented patients who underwent infrainguinal bypass surgery in combination with TA distal to the site of open reconstruction (3 patients; 2.4%). Group "5" represented a heterogenous population of patients who underwent a hybrid reconstruction which did not belong to any of the 4 previously mentioned groups (22 patients; 17.3%). The patients were divided into 3 groups based on the indication criteria of the intervention: Patients with acute limb ischemia (ALI) were put into group "ALI". Patients with critical limb ischemia (CLI) were put into group "CLI", Patients with claudications were put into group "II". Patency analyses were performed using Kaplan-Meier life tables. Differences in patency rates between the different groups of patients were determined using the log-ranktest. Statistical analysis was performed using the software IBM SPSS Statistics 21.0. Resu/(s:The study included 127 patients who underwent 127 hybrid arterial procedures.Technical and clinical success rates were 96.9% and 98.4%.

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