Intentional single-stage revascularization of two different vascular beds in patients with vascular multimorbidity; a feasibility study.
OBJECTIVE
The aim of this retrospective study was to assess the feasibility of catheter-based interventions in two different vascular beds performed in a single stage in patients with vascular multimorbidity.


RESULTS
Fifty patients, 28 males, mean age 68.6 (+/- 9.2) years and 22 females, mean ages 72.2 (+/- 6.4) years were studied. At least one major cardiovascular risk factor was present in 48 (94%) of all patients. The most frequent combination of interventions was coronary artery disease (CAD) and renovascular disease (RVD) (20 patients, 40%) followed by CAD and peripheral artery disease (PAD) (17 patients, 34%). In all patients technical success, defined as residual stenosis < or = 30% diameter, and procedural success, defined as lack of major adverse cardiac and cerebrovascular events (MACCE) during the in-hospital period, were achieved. In two patients surgical revision of the access site was required and in two additional patients minor local bleeding was observed.


CONCLUSIONS
Sequential vascular interventions in different vascular beds may be performed in a single stage with high success rates, however, compared to historical controls possibly at a higher rate of access site complications. A larger study using controls is needed to assess the medical benefits and cost efficacy of a single stage approach in patients with clinically relevant vascular multimorbidity.
Lanzer
Peter
P
Department of Internal Medicine, Hospitals and Clinics, Bitterfeld/Wolfen gGmbH, Friedrich-Ludwig-Jahn Strasse 2, 06749, Bitterfeld, Germany. ca.lanzer@kh-bitterfeld-wolfen.de
Weser
Ralf
R
Prettin
Christiane
C
D000368:Aged; D000792:Angiography; D001157:Arterial Occlusive Diseases / Q000000981:diagnostic imaging / Q000628:therapy*; D005240:Feasibility Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D012189:Retrospective Studies; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods*