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Integrated minimally invasive approaches for the treatment of atherosclerotic vascular diseases: Hybrid procedures
Author(s) -
New Gishel,
Roubin Gary S.,
Iyer Sriram S.,
Vitek Jiri J.,
Moussa Issam,
AlMubarak Nadim,
Leon Martin B.,
Subramanian Valavanur,
Moses Jeffrey W.
Publication year - 2001
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/1522-726x(200102)52:2<154::aid-ccd1039>3.0.co;2-8
Subject(s) - medicine , peripheral , vascular disease , bleed , minimally invasive procedures , arterial disease , surgery , radiology
Patients may develop simultaneous symptoms of atherosclerotic vascular disease from different arterial beds. A concurrent minimally invasive approach to the management of these clinical situations may be an advantage over conventional surgical procedures. This study describes two separate case series of patients undergoing coronary/peripheral (n = 38) and peripheral/peripheral procedures (n = 10). Technical and clinical success was achieved in all patients. There were two periprocedural complications (retroperitoneal bleed and septicemia) in the coronary/peripheral series and no complications in the peripheral/peripheral series. We also present five case reports to illustrate the utility of hybrid procedures in various clinical settings. This study suggests that the use of simultaneous or sequential minimally invasive procedures appears to be a safe and feasible strategy for the treatment of patients with symptoms from more than one vascular bed. Cathet Cardiovasc Intervent 2001;52:154–161. © 2001 Wiley‐Liss, Inc.