Hybrid procedures for chronic lower limb ischemia: what determines the outcome?

• DOI: 10.23736/s0392-9590.16.03684-1
• Publication Date: 2021-07-01T13:54:17Z
• Authors: Konstantinos Spanos; Georgios A. Antoniou; Vasileios Saleptsis; Athanasios Athana...; Aikaterini Drakou; Stylianos Koutsias; Athanasios D. Gia...
• Keywords: Univariate analysis; Critical limb ischemia; Limb ischemia

To report the long term outcome of hybrid (combined open and endovascular) procedures for management multisegmental chronic peripheral arterial disease.A retrospective analysis from a single center during period 2009-2013. Patency rates, survival limb salvage were primary outcomes. Univariate multivariate analyses used to assess association with various factors.A total 132 patients (116 males) mean age 69±1.4 years, treated. The technical hemodynamic success rates 94% 97.7% respectively. assisted patency in 36 months 69.7% 94.7%, Hazard Ratio failure was 1.94 (95% CI: 1.07-3.51, P=0.029) 5.55 1.15-26.79, P=0.033) times higher diabetic patients, Limb rate 87.9%. Rutherford category (P=0.046) previous ipsilateral reconstruction (P=0.011) only factors associated loss.Hybrid are good outcomes treatment disease. Diabetes mellitus remains determinant worse outcome, while severity disease revascularization poorer salvage.