Hybrid interventions in limb salvage

Methodist Debakey Cardiovasc J. 2013 Apr;9(2):90-4. doi: 10.14797/mdcj-9-2-90.

Abstract

Hybrid interventions have become an integral part of our strategy for limb salvage in patients with multilevel arterial occlusive disease. In this article, we describe the commonly used hybrid interventions and review their indications and outcomes. Iliac stenting and femoral endarterectomy are the two most frequently performed procedures in hybrid cases. Short- and long-term outcomes of hybrid interventions are at least comparable to conventional endovascular and surgical revascularization procedures. Hybrid revascularization offers the efficiency and convenience of a single-stage revascularization.

Keywords: critical ischemia; endovascular; hybrid interventions; limb salvage; lower extremity bypass; multilevel arterial occlusive disease; stenting.

Publication types

  • Review

MeSH terms

  • Aged
  • Arterial Occlusive Diseases / diagnosis
  • Arterial Occlusive Diseases / physiopathology
  • Arterial Occlusive Diseases / surgery
  • Arterial Occlusive Diseases / therapy*
  • Combined Modality Therapy
  • Endarterectomy*
  • Endovascular Procedures* / instrumentation
  • Female
  • Hemodynamics
  • Humans
  • Limb Salvage*
  • Male
  • Middle Aged
  • Patient Selection
  • Regional Blood Flow
  • Stents
  • Treatment Outcome
  • Vascular Grafting*

Grants and funding

Funding/Support: The authors have no funding disclosures.