Integrated minimally invasive approaches for the treatment of atherosclerotic vascular diseases: Hybrid procedures

Patients may develop simultaneous symptoms of atherosclerotic vascular dise ase from different arterial beds. A concurrent minimally invasive approach to the management of these clinical situations may be an advantage over con ventional surgical procedures. This study describes two separate case serie s of patients undergoing coronary/peripheral (n = 38) and peripheral/periph eral procedures (0 = 10). Technical and clinical success was achieved in al l patients. There were two periprocedural complications (retroperitoneal bl eed and septicemia) in the coronary/peripheral series and no complications in the peripheral/peripheral series. We also present five case reports to i llustrate the utility of hybrid procedures in various clinical settings. Th is study suggests that the use of simultaneous or sequential minimally inva sive procedures appears to be a safe and feasible strategy for the treatmen t of patients with symptoms from more than one vascular bed. Cathet Cardiov asc Intervent 2001;52:154-161. (C) 2001 Wiley-Liss, Inc.