Hybrid operations in treatment of patients with multi-level lesions of lower limb arteries

Fataliev G.B.1, Arakelyan V.S.2, Shubin A.A.1

¹ Municipal Clinical Hospital named after S.P. Botkin of the Moscow Healthcare Department,
² A.N.Bakulev National Medical Research Center of Cardiovascular Surgery of the RF Ministry of Public Health, Moscow, Russia

The article is a review of literature dedicated to simultaneous open and endovascular (hybrid) operations in treatment of patients with chronic ischaemia of lower limbs. Despite good results of endovascular interventions, in many situations involvement of arteries below the inguinal fold and multilevel lesions are arguments in favour of performing an open operation. On the other hand, open multilevel interventions are accompanied by an increased risk of complications and mortality. Hybrid interventions appear to be a safe and efficient alternative combining advantages of two methods of treatment and making it possible to achieve an optimal outcome with a minimal surgical wound.
Also discussed herein are the problems of terminology, indications for, techniques and results of treatment, providing a historical background, followed by analysing problem spots of using this technique and trends of development.

KEY WORDS: multilevel lesion, atherosclerosis, chronic lower limb ischaemia, hybrid surgery, simultaneous interventions.

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