Surgical and endovascular hybrid approach in peripheral arterial disease of the lower limbs

Autor: Katia Iglesias, François Saucy, Céline Dubuis, Anouk Grandjean, Sébastien Déglise, Jean-Marc Corpataux
Rok vydání: 2016
Předmět:
Adult
Male
medicine.medical_specialty
Time Factors
Databases
Factual
Critical Illness
medicine.medical_treatment
Comorbidity
Endarterectomy
Kaplan-Meier Estimate
Disease
030204 cardiovascular system & hematology
Revascularization
Peripheral Arterial Disease
03 medical and health sciences
0302 clinical medicine
Ischemia
Risk Factors
medicine
Humans
030212 general & internal medicine
Vascular Patency
Aged
Proportional Hazards Models
Retrospective Studies
Aged
80 and over
business.industry
Proportional hazards model
Mortality rate
Endovascular Procedures
Critical limb ischemia
Intermittent Claudication
Middle Aged
Limb Salvage
Hybrid approach
Intermittent claudication
Surgery
Peripheral
Treatment Outcome
Lower Extremity
Multivariate Analysis
Female
Vascular Grafting
medicine.symptom
Cardiology and Cardiovascular Medicine
business
Switzerland
Zdroj: Vasa. 45:417-422
ISSN: 1664-2872
0301-1526
Popis: Abstract. Background: Multilevel peripheral arterial disease is frequently observed in patients with intermittent claudication or critical limb ischemia. This report evaluates the efficacy of one-stage hybrid revascularization in patients with multilevel arterial peripheral disease. Patients and methods: A retrospective analysis of a prospective database included all consecutive patients treated by a hybrid approach for a multilevel arterial peripheral disease. The primary outcome was the patency rate at 6 months and 1 year. Secondary outcomes were early and midterm complication rate, limb salvage and mortality rate. Statistical analysis, including a Kaplan-Meier estimate and univariate and multivariate Cox regression analyses were carried out with the primary, primary assisted and secondary patency, comparing the impact of various risk factors in pre- and post-operative treatments. Results: 64 patients were included in the study, with a mean follow-up time of 428 days (range: 4 − 1140). The technical success rate was 100 %. The primary, primary assisted and secondary patency rates at 1 year were 39 %, 66 % and 81 %, respectively. The limb-salvage rate was 94 %. The early mortality rate was 3.1 %. Early and midterm complication rates were 15.4 % and 6.4 %, respectively. The early mortality rate was 3.1 %. Conclusions: The hybrid approach is a major alternative in the treatment of peripheral arterial disease in multilevel disease and comorbid patients, with low complication and mortality rates and a high limb-salvage rate.
Databáze: OpenAIRE
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