Abstract
Objective: To evaluate the feasibility and efficacy of simultaneous combined endovascular and open lower extremity arterial reconstruction. Patients and Methods: Between April 2008 and March 2011, 16 patients (17 limbs) underwent hybrid therapy. The patients comprised 13 men and 3 women, with an average age of 73 years. The treatment outcomes included incidence of postoperative complications, postoperative mortality and patency. Results: The technical and clinical success rates were 100% and 88%, respectively. There was no perioperative mortality. The primary patency, assisted primary patency, secondary patency and limb salvage rates at 24 months were 73%, 100%, 100% and 100%, respectively, in Fontaine stage II, and 50%, 83%, 83% and 83%, respectively in Fontaine stage III and IV patients. Conclusions: Hybrid procedures provide safe and effective treatment for multilevel lower extremity arterial disease.
