Vaskulárna medicína 3/2010

Hybrid procedures in patients with lower extremity arterial occlusive disease

Background: Atherosclerosis is a systemic disease with involvement of various systems. The aim of our study was to evaluate the efficacy of hybrid procedures in patients suffered from lower extremities arterial occlusive disease. Method: Hybrid procedures were used in 167 patients between 2003-2010. Group A (N=114) was created by patients with stage, group B (N=53) with simultaneous hybrid procedures. Men to female ratio was 2:1, an average age was 68.3 ± 6.5 years. 82 (49.1%) patients suffered from ischemic heart disease, 76 (45.5%) had diabetes, 87 (52.0%) dyslipidemia, 134 (80.2%) were smokers. The mid-term results of reconstructions in the both groups were evaluated by statistical analysis. Results: One, two and three years survival was 96.3; 92.4 and 8.,7 % in group A, resp. 92.6; 89.6 and 82.4 % in group B (n. s). One, two and three years patency rate in group A was 89.4; 76.7 and 69.3 %, resp. 91.0; 70.3 and 64.2 % in group B (n. s.). Conclusion: Hybrid procedures in patients with multilevel lower extremities arterial disease are the method of choice with very good long-term results. Simultaneous procedures are advantageous not only for patients but also from economic point of view.

Keywords: lower extremity peripheral arterial occlusive disease, multilevel disease, hybrid procedures