Korean J Vasc Endovasc Surg.  2011 Nov;27(4):168-172. 10.5758/kjves.2011.27.4.168.

Initial Experience of Hybrid Vascular Operation

• Kwon MS
• Kim JH
• Byun SS
• Choi ST
• Kang J

• KMID: 1448060
• DOI: http://doi.org/10.5758/kjves.2011.27.4.168

Abstract

PURPOSE
Despite advances in the techniques and development of new devices, endovascular (EV) procedures are not the panacea for peripheral vascular diseases. This is partly because substantial cases are too complicated to manage with only EV procedures and partly because of the relatively large size of devices. We reviewed our experience of hybrid vascular procedures and report here on their outcomes.
METHODS
Between August 2008 and March 2010, thirteen cases of hybrid vascular operation were performed. A retrospective review of electronic medical records was performed. The primary outcome measures were technical outcomes and patency rates.
RESULTS
The mean follow-up duration was 17.7 months. Treatment indications were as follows: critical ischemia (n=6), claudication (n=3), abdominal aortic aneurysm with leg ischemia (n=3), and unstable aortic atheroma with recurrent embolism (n=1). All operations were performed under local anesthesia in an angiography suite. A single surgeon and a single interventional radiologist performed all the major procedures together. Technical and clinical success rates were 92.3%. All limbs were salvaged in patients with critical ischemia. The primary patency rate of the 13 cases was 83.3% at 1 year. There was no in-hospital mortality.
CONCLUSION
hybrid vascular operation is useful for patients with a complex vascular condition. The role of hybrid vascular operation should be established with regards to not only the cost benefit but also the long-term outcomes.

Keyword

Hybrid; Surgery; Endovascular

MeSH Terms

Anesthesia, Local
Angiography
Aortic Aneurysm, Abdominal
Chimera
Cost-Benefit Analysis
Electronic Health Records
Embolism
Extremities
Follow-Up Studies
Humans
Ischemia
Leg
Outcome Assessment (Health Care)
Peripheral Vascular Diseases
Plaque, Atherosclerotic
Retrospective Studies