Revascularization method for patients with infrainguinal arterial disease

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