J Korean Surg Soc.  2010 Nov;79(5):386-392. 10.4174/jkss.2010.79.5.386.

Results of Simultaneous Hybrid Operation in Multi-level Arterial Occlusive Disease

  • 1Division of Vascular/Endovascular Surgery, Department of Surgery, Daegu Catholic University Medical Center, Daegu, Korea. winderror@yahoo.co.kr


Hybrid procedure in lower extremity arterial disease is composed of open bypass and endovascular treatment. For proximal inflow bypass operations for distal lesions used to be performed 1 or 2 weeks after endovascular therapy. Since Aug 2005, all hybrid operations have been performed simultaneously in the operation room in our center. In this study, we compared the results of the staged hybrid operations with those of simultaneous procedures.
From Jan 1999 to Dec 2009, 115 endovascular treatments and 139 bypass operations were performed. 44 bypasses were performed 1 day to 14 days after angioplasty in inflow lesions (group I) and 95 bypasses were performed simultaneously in the operation room with mobile fluoroscopy (group II). In both groups, inflow procedures included 3 femoral balloon angioplasties, 3 femoral stents, 24 iliac balloon angioplasties and 85 iliac stents. Bypass operations were composed of 39 femorofemoral and 102 infrainguinal bypasses including 60 femoropopliteal and 42 other bypasses.
The 3-year patency rate of bypass graft is 71.5%. There is no difference in either group. But in endovascular treatment lesion, the 3-year patency rate is 80% and that of the simultaneous group is higher than that of the staged group (P<0.05).
Hybrid operation is a less invasive therapy for revascularization in multilevel peripheral arterial occlusive disease. With development of endovascular therapy, simultaneous hybrid operations become more efficient.


Hybrids; Multilevel peripheral artery disease; Endovascular treatment; Bypass surgery

MeSH Terms

Arterial Occlusive Diseases
Lower Extremity


  • Fig. 1 Comparison of 3-year cumulative primary patency rates in endovascular treatment for iliac lesion between staged and simultaneous group.

  • Fig. 2 Comparison of 3-year cumulative primary patency rates in femoropopliteal bypass grafts between staged and simultaneous group.

  • Fig. 3 Comparison of 3-year limb salvage rates between staged and simultaneous group.

  • Fig. 4 Wound hematoma due to previous puncture injury (black arrow).

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