Editor-in-Chief Ufuk Demirkılıç Frequency Quarterly Abbreviation Turk J Vasc Surg Publisher Turkish National Vascular and Endovascular Surgery Society ISSN 2667-4947 E-ISSN 2667-5080

Turkish Journal of Vascular Surgery 2013 , Vol 22 , Issue 1
Periferik Arter Hastalığının Tedavisinde Hibrit Yaklaşımlar
Gökhan GÖKASLAN, Hayati DENİZ, Yavuz ARSLANOĞLU, Özerdem ÖZÇALIŞKAN, Eren Oral KALSAĞDE, Gökalp GÜZEL, Mehmet AŞAM, Alptekin YASIM, Haşim ÜSTÜNSOY
1Kalp ve Damar Cerrahisi AD, Gaziantep Üniversitesi Tıp Fakültesi, Gaziantep DOI : 10.9739/uvcd.2012-32866 Introduction: In this retrospective study, we aimed to present our hybrid approach treatment results for peripheral arterial disease. Material and Methods: Between March 2010 and June 2011, 16 patients (14 males, 2 females) underwent staged hybrid approach. Their mean age was 59±5.8 (range 50-71) years and 10 of them had hypertension, 8 of them had coronary artery disease, 6 of them had carotid artery disease, 4 of them had diabetes mellitus and one of them had val- vular heart disease. All patients underwent to surgical operation after performing angioplasty and stent. Results: Stent was placed to common iliac artery in 9 patients, external iliac artery in 4 pati- ents, superficial femoral artery in one patient and bilateral common iliac artery in one patient. Two months after the stent procedure, left femoro-popliteal bypass surgery was performed in seven pa- tients, right femoro-popliteal bypass surgery in six patients, bilateral femoro-popliteal bypass in two patients and extra anatomic femoro-femoral bypass surgery in one patient. All operations we- re performed under spinal anesthesia. Reoperation was needed because of early graft occlusion in one patient who had left femoro-popliteal bypass surgery. Despite the short follow up period (9-24 months, mean 16.5 months), no more problems occurred in other patients and secondary patency rate was 100%. Conclusion: In recent years, authors suggest that endovascular procedures outclass surgical interventions particularly in iliac artery stenosis, with lower complication and higher pa- tency rates. Therefore, in patients with concomitant stenotic lesions in iliac and distal artery seg- ments, using a two-stage intervention strategy which first eliminates iliac artery stenosis with an endovascular intervention may increase distal bypass surgery success with increasing the inflow of blood to the distal arterial segments. Keywords : Peripheral arterial disease; endovascular procedures; iliac artery
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