Investigating the success rate and complications of hybrid revascularization surgical ‎technique in treating multi-level critical limb ischemia

Abstract:‎ Peripheral artery disease is a disease that leads to obstruction of blood flow in arteries, especially coronary ‎arteries. Hybrid Rascularization Surgery Technique is one of the methods in the treatment of critical limb ‎ischemia in people with peripheral arterial disease.‎In a case series study of patients who had peripheral vascular occlusion from ۲۰۱۶ to ۲۰۲۱ and referred to Razi ‎Medical Center in Rasht and were treated with a hybrid procedure by CFA arterial endartectomy and ‎simultaneous Inflow & Outflow angioplasty, a checklist included Age, sex, local complications, exacerbation of ‎ischemia, inflow artery involvement, outflow artery involvement, blood flow success rate, symptom success ‎rate, and wound healing rate were collected.‎Sixteen patients were studied during this period, of which ۱۳ were male and ۳ were female. Their mean age ‎was ۶۷.۷۵ ±۱۰.۵۵ years and the youngest person was ۴۷ years old and the oldest person was ۸۶ years old. ۲ ‎patients had only Inflow involvement, ۸ patients had only Outflow involvement and ۶ patients had both Inflow ‎and Outflow involvement. Of the ۱۶ patients studied, ۱ patient did not present after surgery and the ‎information on the success or failure of their surgery is not known, but of the other ۱۵ patients, ۱۳ patients ‎‎(۸۷%) had their wounds healed and their surgery was successful.‎In our study, the majority of patients (۱۳ out of ۱۵ patients) had technically successful vascular surgery, which is ‎a significant success in terms of mortality and morbidity compared to open surgery according to other studies. In ‎aortic and lower extremity stenosis, with this procedure, the mortality and morbidity rates are low and the ‎success rate is high. It is also an acceptable method due to shortening the duration of surgery and the time of ‎hospitalization of the patient and not opening the abdomen.‎ Keywords: Peripheral artery disease, critical limb ischemia, hybrid vascularization

کلیدواژه ها:

Keywords: Peripheral artery disease ، critical limb ischemia ، hybrid vascularization