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Glushkov N.I.

Mechnikov North-Western State Medical University

Ivanov M.A.

Mechnikov North-Western State Medical University

Apresyan A.Yu.

Mechnikov North-West State Medical University

Artemova A.S.

Almazov National Medical Research Center

Gorovaya A.D.

Mechnikov North-West State Medical University

Puzdryak P.D.

Mechnikov North-West State Medical University

Bondarenko P.B.

Mechnikov North-West State Medical University

Are hybrid technologies appropriate for revascularization of aortoiliac-femoral segment?

Authors:

Glushkov N.I., Ivanov M.A., Apresyan A.Yu., Artemova A.S., Gorovaya A.D., Puzdryak P.D., Bondarenko P.B.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2020;(8): 49‑54

DOI: 10.17116/hirurgia202008149

Views: 838

Downloaded: 25

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Table of contents

To cite this article:

Glushkov NI, Ivanov MA, Apresyan AYu, Artemova AS, Gorovaya AD, Puzdryak PD, Bondarenko PB. Are hybrid technologies appropriate for revascularization of aortoiliac-femoral segment?. Pirogov Russian Journal of Surgery. 2020;(8):49‑54. (In Russ.)
https://doi.org/10.17116/hirurgia202008149

Подписка 2025 (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
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OBJECTIVE

To compare various approaches to revascularization of aortoiliac-femoral segment.

MATERIAL AND METHODS

Data were collected prospectively for retrospective analysis. There were 192 patients with atherosclerotic lesion of the aortoiliac-femoral segment who underwent reconstructive surgeries. All patients were divided into 3 groups depending on the type of reconstruction: 85 patients underwent open surgical interventions, 63 patients — endovascular interventions, 44 patients — hybrid techniques. Between-group differences were considered significant at p-value <0.05.

RESULTS

Hybrid revascularization is characterized by less duration of surgery, blood loss and morbidity. Hybrid interventions ensured favorable primary patency compared to open surgery within the follow-up period.

CONCLUSION

Hybrid revascularization of aortoiliac-femoral segment is characterized by less duration of surgery, blood loss and morbidity.

Keywords:

peripheral atherosclerosis
hybrid operations

Authors:

Glushkov N.I.

Mechnikov North-Western State Medical University

Ivanov M.A.

Mechnikov North-Western State Medical University

Apresyan A.Yu.

Mechnikov North-West State Medical University

Artemova A.S.

Almazov National Medical Research Center

Gorovaya A.D.

Mechnikov North-West State Medical University

Puzdryak P.D.

Mechnikov North-West State Medical University

Bondarenko P.B.

Mechnikov North-West State Medical University

Received:

09.12.2018

Accepted:

05.04.2019

List of references:

  1. Glushkov NI, Ivanov MA, Bondarenko PB, Ermina MYu, Artyomova AS, Khvostova MS, Puzdryak PD. Gender features of peripheral atherosclerosis: the role of metabolic disorders. Preventive and clinical medicine. 2018;1(66):57-64. (In Russ.).
  2. Nicoloff AD, Taylor LM, McLafferty RB, et al. Patient recovery after infrainguinal bypass grafting for limb salvage. J Vasc Surg. 1998;27(2): 256-263. 
  3. Rutherford RB, Baker JD, Ernst C, et al. Recommended standards for reports dealing with lower extremity ischemia: Revised version. J Vasc Surg. 1997;26:517-538. 
  4. Combined percutaneous endovascular iliac angioplasty and infrainguinal surgical revascularization for chronic lower extremity ischemia: preliminary result. A. Mousa, et al. Vascular. 2010;18:71-76. 
  5. Diagnosis and treatment of patients with peripheral arterial diseases. Russian recommendations. M. 2007. (In Russ.).
  6. Matsagkas M, Kouvelos G, Arnaoutoglou E, Papa N, Labropoulos N, Tassiopoulos A. Hybrid procedures for patients with critical limb ischemia and severe common femoral artery atherosclerosis. Ann Vasc Surg. 2011;25(8):1063-1069.
  7. Uchkin IG, Alexandrova ES, Tarkovsky AA, Bagdasaryan AG. Hybrid surgical techniques in the treatment of patients with chronic obliterating diseases of lower limb arteries. Russian electronic journal of radiology. 2013;3(1). (In Russ.).
  8. Glushkov NI, Shlomin VV, Ivanov MA, Puzdryak PD, Artyomov AS, Bondarenko PB. Comparative evaluation of various methods of revascularization in multilevel peripheral arterial disease. Cardiology and Cardiovascular Surgery. 2018;2:24-30. (In Russ.). https://doi.org/10.17116/kardio201811224-30
  9. Reed AB, Conte MS, Donaldson MC, et al. The impact of patient age and aortic size on the results of aortobifemoral bypass grafting. J Vasc Surg. 2003;37(6):1219-1225.
  10. Khabazov RI, Amirov NSh, Amirova AV, Lysenko ER, Azaryan AS, Troitsky AV. Long-term results of endoprosthetics and stenting of the iliac arteries after hybrid interventions. Bulletin of the National Medical and Surgical Center. NI Pirogov. 2016;11(1):22-26. (In Russ.).
  11. Koydan AA, Batalin IV, Vavilov VN, Kaputin MYu, Atmadzas AV, Atmadzas KA, Kuryanov PS, Gorin AS. Comparative results of various methods arterial reconstruction with lesions of the femoral-popliteal-tibial segment in patients with chronic critical ischemia of the lower extremities. Regional blood circulation and microcirculation. 16:3(63):41-48. (In Russ.).
  12. Vyrvyhvost AV, Voskanyan YuE. Results of surgical treatment of multi-storey atherosclerotic occlusive lesions of the lower arteries. Angiology and Vascular Surgery. 1995;2:50-51. (In Russ.).
  13. Jonathan DB. Treatment of chronic lower limb ischaemia. StM. Thomas, et al. Vascular and Endovascular surgery. 3-rd ed. 2006;35-69. 
  14. Khabazov RI, Amirov NSh, Amirova AV, Lysenko ER, Azaryan AS, Troitsky AV. Long-term results of endoprosthetics and stenting of the iliac arteries after hybrid interventions. Bulletin of the National Medical and Surgical Center N.I. Pirogov. 2016;11(1):22-26. (In Russ.).
  15. Glushkov NI, Shilo MM, Ivanov MA, Artemova AS, Vinnichuk SA. Idiopathic venous thromboembolic events and atherosclerosis. Preventive and clinical medicine. 2017;62(1):49-53. (In Russ.).
  16. Bonvini RF, Rastan A, Sixt S, et al. Endovascular treatment of common femoral artery disease: medium-term outcomes of 360 consecutive procedures. J Am Coll Cardiol. 2011;58:792-798. 

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