Background: The lower limb peripheral arterial disease (PAD) is the third-largest atherosclerotic disease site along with heart disease and cerebrovascular disease, a condition that was often overlooked in the past, but which has been a growing cause of Cardiovascular Disability and Mortality, in recent years.
Aim of the work: Assessment of the results of hybrid procedures using Endovascular and open techniques for surgery simultaneously, in patients with critical lower limb ischemia caused by arterial multi-level occlusive disease, as regards to patency as well as the complications.
Patient and method: This randomized study was conducted on 40 patients attending at Al-Azhar University Hospitals with arterial multisegmental lesions affecting lower limbs. They all treated with hybrid techniques.
Results: Technical success in 93.22% (55 of 59) of the procedures. The pre-intervention mean ABPI for the 40 patients was 0.32 ± 0.04, which improved to 0.70 ± 0.15 immediately post-intervention (P<0.01). The primary rate of patency at 12 months was 72.5%. The cumulative limb salvage rate at 12 months was 77.5% (standard error: <10%). It was seven major and ten minor complications in the perioperative period for an overall rate of 27.5%. Mortality occurred in two patients (5%).
Conclusion: the hybrid procedures of this high-risk group of patients can simplify the management of multilevel PAD and optimize limb salvage while minimizing total patient risk.