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Nikolay et al. Vessel Plus 2018;2:35 Vessel Plus
DOI: 10.20517/2574-1209.2018.45

Original Article Open Access

Revascularization method for patients with
infrainguinal arterial disease

Glushkov Nikolay, Ivanov Michael, Artemova Anastasia, Puzdriak Petr, Uryupina Anastasia, Bondarenko
Pavel, Ivan Tigrov

Department of General Surgery, North-West State Medical University, Saint Petersburg 195067, Russia.
Correspondence to: Dr. Puzdriak Petr, Department of General Surgery, North-West State Medical University, Saint Petersburg
195067, Russia. E-mail: hirurg495@yandex.ru
How to cite this article: Nikolay G, Michael I, Anastasia A, Petr P, Anastasia U, Pavel B, Tigrov I. Revascularization method for
patients with infrainguinal arterial disease. Vessel Plus 2018;2:35. http://dx.doi.org/10.20517/2574-1209.2018.45

Received: 9 Jun 2018 First Decision: 28 Aug 2018 Revised: 13 Sep 2018 Accepted: 18 Sep 2018 Published: 29 Oct 2018
Science Editors: Mario F. L. Gaudino, Igor A. Sobenin Copy Editor: Cui Yu Production Editor: Zhong-Yu Guo

Abstract
Aim: The aim of the study was to perform a comparative evaluation of the use of various methods of reconstructive
assistance in the repair of the femoral-tibial segment in patients with peripheral arterial disease.

Methods: Two hundred and fifty-three patients with atherosclerotic lesions of arteries below the inguinal ligament
were examined and revascularized. According to the type of reconstruction performed, the patients were divided into 3
groups: 98 patients underwent open operative interventions; 116 patients underwent endovascular interventions; 39 had
hybrid reconstructions performed.

Results: Minor blood loss, and stability of hemodynamics in the perioperative context positively characterize hybrid
effects. The time spent in the resuscitation department and the shorter hospitalization of patients after hybrid
revascularization methods were revealed in comparison with open methods. The absence of dangerous complications
and the primary patency of the operated segment in the early postoperative period, approaching 100%, characterize
hybrid techniques as an effective method of treating patients with infrainguinal arterial disease.

Conclusion: Hybrid technologies are characterized by a shorter duration of surgical intervention, a low amount of blood
loss and a lower incidence of complications in the early periods. The primary patency of the operated segment after
hybrid techniques was higher than after open and endovascular surgical interventions.

Keywords: Peripheral arterial disease, hybrid intervention, claudication

© The Author(s) 2018. Open Access This article is licensed under a Creative Commons Attribution 4.0
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