Abstract
The problem of choosing the optimal method of surgical treatment of patients with diseases of the arteries of the lower extremities continues to be very controversial in clinical communities in the world and in Russia. International experts review existing recommendations and guidelines periodically. This scientific publication describes a clinical case of hybrid surgery in a 70-year-old patient with a multilevel lesion of the arteries of the lower extremities and comorbidites. The surgical team, consisting of cardiovascular and endovascular surgeons, performed hybrid intervention – repeated femoral-popliteal bypass above the knee joint slit with a 6 mm polytetrafluoroethylene (PTFE) explant, stenting of the left common iliac artery (CIA) with a peripheral balloon-opening stent and mechanical recanalization with transluminal balloon angioplasty (TLBAP) of the main arteries of the lower leg.
References
- Bockeria L.A., Pokrovsky A.V., Akchurin R.S., Alekyan B.G., Apkhanova T.V., Arakelyan V.S. et al. National guidelines for the management of patients with lower limb arteries diseases. Moscow: 2019 (in Russ.).
- Conte M.S., Bradbury A.W., Kolh Ph., Wang J., Wang Sh. Global Vascular Guidelines on the Management of Chronic Limb-Threatening Ischemia. Eur. J. Vasc. Endovasc. Surg. 2019; 58 (1): 142–152. DOI: 10.1016/j.ejvs.2019.05.006
- 2018 JAPAN Critical Limb Ischemia Database Annual Report. Ann. Vasc. Dis. 2021; 14 (2) 230–202. DOI: 10.3400/avd.ar.21-00047
- Björses K. Swedvasc’s årsrapport 2020 för 2019 års verksamhet 2020; 34–41. https://www.ucr.uu.se/swedvasc/arsrapporter (access date 20.10.2022).
- Björses K. Swedvasc’s årsrapport 2021 för 2020 års verksamhet 2021; https://www.ucr.uu.se/swedvasc/arsrapporter (access date 20.10.2022).
- Mani K. Swedvasc’s årsrapport 2022 för 2021 års verksamhet 2022; https://www.ucr.uu.se/swedvasc/arsrapporter (access date 20.10.2022).
- Mani K. Swedvasc’s årsrapport 2023 för 2022 års verksamhet 2023; https://www.ucr.uu.se/swedvasc/arsrapporter (access date 20.08.2023).
- Decker A.J., Helmer M., Bette S., Schwarz F., Kroencke T.J., Scheurig-Muenkler C. Comparison and trends of endovascular, surgical and hybrid revascularizations and the influence of comorbidity in 1 million hospitalizations due to peripheral artery disease in Germany between 2009 and 2018. Cardiovasc. Intervent. Radiol. 2022; 45 (10): 1472–1482. DOI: 10.1007/s00270-022-03136-9
- Ito R., Kumada Y., Ishii H., Kamoi D., Sakakibara T., Umemoto N. et al. Clinical outcomes after isolated infrapopliteal revascularization in hemodialysis patients with critical limb ischemia: endo- vascular therapy versus bypass surgery. J. Atheroscler. Thromb. 2018; 25 (9): 799–807. DOI: 10.5551/ jat.42648
- Cervin A., Acosta S., Hultgren R., Grip O., Björck M., Falkenberg M. Results after open and endovascular repair of popliteal aneurysm: a matched comparison within a population based cohort. Eur. J. Vasc. Endovasc. Surg. 2021; 61 (6): 998–997. DOI: 10.1016/j.ejvs.2021.02.007
- Toshio T., Matsumura J.S. Complete lower extremity revascularization via a hybrid procedure for patients with critical limb ischemia. Vasc. Endovasc. Surg. 2018; 52 (4): 255–261. DOI: 10.1177/1538574418761723
About the authors
- Magomedrasul K. Musaev, Endovascular Surgeon, Head of Department, Researcher; ORCID
- Valeriy S. Arakelyan, Dr. Med. Sci., Professor, Head of Department, Cardiovascular Surgeon; ORCID
- Vasiliy G. Papitashvili, Leading Researcher, Head of Department, Cardiovascular Surgeon; ORCID
- Abdulgamid Yu. Musalov, Endovascular Surgeon; ORCID
- Shamsi G. Akhmedov, Postgraduate, Cardiovascular Surgeon; ORCID