Retrograde iliofemoral endarterectomy facilitated by balloon angioplasty

Queral, Luis A.; Criado, Frank J.; Patten, Peggy

doi:10.1016/s0741-5214(95)70065-x

Cited by 31 publications

(28 citation statements)

References 12 publications

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“…In addition to our previous work, 13 several authors 14,[17][18][19] have published their techniques and early results with a hybrid approach to iliofemoral occlusive disease. To the best of our knowledge, this report comprises the largest series to date describing outcome and long-term patency of this procedure.…”

Section: Discussionmentioning

confidence: 93%

Long-term results of combined common femoral endarterectomy and iliac stenting/stent grafting for occlusive disease

Chang

Goodney

Baek

et al. 2008

Journal of Vascular Surgery

170

110

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Section: Discussionmentioning

confidence: 93%

Long-term results of combined common femoral endarterectomy and iliac stenting/stent grafting for occlusive disease

Chang

Goodney

Baek

et al. 2008

Journal of Vascular Surgery

170

110

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“…Multilevel revascularization, using a combination of endovascular and open (hybrid) surgeries, was first reported in the early 1990s (4). Hybrid surgery is ideal for multilevel lesions, as it allows for minimally invasive treatment on complex anatomy in medically high-risk patients.…”

Section: Introductionmentioning

confidence: 99%

Simultaneous hybrid revascularization for symptomatic lower extremity arterial occlusive disease

Joh

Joo

2013

Experimental and Therapeutic Medicine

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Multilevel revascularization, using a combination of endovascular and open (hybrid) surgery, is increasingly being used. Hybrid surgery allows complex anatomy to be treated by minimally invasive procedures in medically high risk patients. The aim of the present study was to report a novel hybrid surgery for lesions in the multilevel lower extremity arteries and to evaluate the clinical outcomes. Consecutive patients who presented at a single institution between March 2009 and Feburary 2012 were selected for inclusion in the study. The patients had disabling claudication or critical limb ischemia and underwent treatment for revascularization by open surgery or by a combination of open surgery and endovascular procedure. Retrospective analysis was conducted from a prospectively collected database. All procedures were performed by a vascular surgeon in an operating room. Postoperative surveillance in outpatient clinics was conducted at 3 and 6 months and every 6 months thereafter. A total of 76 patients were included in the study with a mean age of 67.1±11.3 years (range, 42–94 years) and the male to female ratio was 67:9. The most common indication for revascularization was Rutherford category IV (resting pain). The immediate technical success rate of hybrid surgery was 90.5%, with an overall limb salvage rate of 97.4%. The primary patency rates of the hybrid and open groups were 100 and 90.9%, respectively (P=0.441). Therefore, the results of the present study indicate that hybrid surgery is a feasible option for the treatment of multilevel peripheral arterial occlusive disease, showing favorable patency and limb salvage rates. These observations indicate that femoral endarterectomy plays a vital role in hybrid surgery.

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“…The disadvantage of this approach in our case would be the need of thoracotomy that would increase the severity of the operation in terms of surgical stress and need for intensive care unit as well as the possibility of major postoperative complications (9–11). The technique of “retrograde iliofemoral endarterectomy facilitated by balloon angioplasty” (12) or “internal endoconduit,” (13) which would have been another options in our case, could not take place since the attempts to place a sheath through the iliac arteries were unsuccessful.…”

Section: Discussionmentioning

confidence: 92%

Thoracic Aorta Aneurysm Repair in a Patient with a Solitary Kidney: Hybrid Surgery as a Bailout Procedure

et al. 2016

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Thoracic endovascular aortic repair (TEVAR) is an emerging treatment option for thoracic aorta aneurysms (TAA). Endovascular access is a challenge. We present a novel TEVAR technique in a patient with single kidney and a 6.4 cm TAA. Attempting to place a sheath through iliac arteries was unsuccessful. The decision to proceed to hybrid TEVAR was made. The protection of the solitary kidney was achieved through axillo-femoral bypass, followed by an end-to-side anastomosis between the aorta and a bifurcated graft. Through the graft, a stent was introduced in the thoracic aorta. With the use of contrast material, the right position of the graft was confirmed.

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Retrograde iliofemoral endarterectomy facilitated by balloon angioplasty

Cited by 31 publications

References 12 publications

Long-term results of combined common femoral endarterectomy and iliac stenting/stent grafting for occlusive disease

Long-term results of combined common femoral endarterectomy and iliac stenting/stent grafting for occlusive disease

Simultaneous hybrid revascularization for symptomatic lower extremity arterial occlusive disease

Thoracic Aorta Aneurysm Repair in a Patient with a Solitary Kidney: Hybrid Surgery as a Bailout Procedure

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