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Fataliev G.B.

Botkin City Clinical Hospital

Arakelyan V.S.

Bakoulev National Medical Research Center for Cardiovascular Surgery

Shubin A.A.

Botkin City Clinical Hospital

Choice of hybrid interventions for iliac-femoral arterial lesions

Authors:

Fataliev G.B., Arakelyan V.S., Shubin A.A.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2024;(3): 21‑28

DOI: 10.17116/hirurgia202403121

Read: 1337 times

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Table of contents

CHOICE OF HYBRID INTERVENTIONS FOR ILIAC-FEMORAL ARTERIAL LESIONS
CHOICE OF HYBRID INTERVENTIONS FOR ILIAC-FEMORAL ARTERIAL LESIONS

To cite this article:

Fataliev GB, Arakelyan VS, Shubin AA. Choice of hybrid interventions for iliac-femoral arterial lesions. Pirogov Russian Journal of Surgery. 2024;(3):21‑28. (In Russ.)
https://doi.org/10.17116/hirurgia202403121

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

To compare the short-term and long-term outcomes of hybrid interventions after various infrainguinal reconstructions (restoration of blood flow through superficial femoral artery and pulsatile blood flow through deep femoral artery) in patients with iliac-femoral arterial disease.

MATERIAL AND METHODS

A retrospective analysis included patients after hybrid iliac-femoral interventions between 2014 and 2018. These interventions included stenting of iliac arteries and various open infrainguinal reconstructions. The first group (n=41) consisted of patients who underwent reconstruction of superficial femoral artery, the second group (n=88) — restoration of pulsatile blood flow in deep femoral artery. We analyzed the Rutherford score, perioperative complications, primary patency rates and limb salvage rates after 12 months in both groups.

RESULTS

Significant improvement (Rutherford score +3) was achieved in 28 (70%) and 14 (15.9%) patients, respectively (p<0.05). There were no significant between-group differences in the number of postoperative complications. Surgery time was longer in the first group (median 160 and 130 min, respectively, p<0.05). However, intraoperative blood loss was similar. Primary patency rates after 12 months were 82.4% and 95.1%, respectively (p=0.054). Limb salvage rates after 12 months were 94.7% and 100%, respectively (p<0.05).

CONCLUSION

This study highlights the potential advantages of restoring pulsatile blood flow through the deep femoral artery in hybrid interventions. Higher primary patency and limb salvage rates in the second group indicate better long-term outcomes after restoration of blood flow through the deep femoral artery. Further prospective studies are needed to confirm these results and determine the underlying mechanisms of differences.

Keywords:

hybrid interventions
lower limb atherosclerosis
multilevel lesion

Authors:

Fataliev G.B.

Botkin City Clinical Hospital

Arakelyan V.S.

Bakoulev National Medical Research Center for Cardiovascular Surgery

Shubin A.A.

Botkin City Clinical Hospital

Received:

29.06.2023

Accepted:

05.10.2023

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