title: A hybrid approach using a composite endovascular and open graft procedure for a symptomatic common femoral aneurysm extending well above the inguinal ligament.
abstract: We report the use of a unique hybrid technique to treat a patient with a painful aneurysm extending both above and below the inguinal ligament. The patient was at high surgical risk, and endovascular treatment was not possible due to the absence of an appropriate vascular access site. Under local anesthesia, this aneurysm was treated using both a stent graft and a traditional Dacron graft for the iliac and femoral portions, respectively. Simultaneously, a popliteal aneurysm was treated endovascularly through a jump graft, which was used to bypass a short occlusion at the origin of the superficial femoral artery. Hybrid techniques can be an alternative approach in high-risk patients where endovascular procedures cannot be applied.
authors.affiliation: First Department of Surgery, Vascular Department, University of Athens, "Laiko" General Hospital, Athens, Greece. bakogian@hotmail.com
authors.forename: Chris N
authors.initials: CN
authors.lastname: Bakoyiannis
authors.forename: Nikolaos S
authors.initials: NS
authors.lastname: Tsekouras
authors.forename: Konstantinos P
authors.initials: KP
authors.lastname: Economopoulos
authors.forename: Elias A
authors.initials: EA
authors.lastname: Bastounis
mesh_terms: D000783:Aneurysm / Q000175:diagnosis / Q000601:surgery*; D000792:Angiography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D004638:Emergency Treatment; D005263:Femoral Artery; D005500:Follow-Up Studies; D006801:Humans; D007264:Inguinal Canal; D008297:Male; D008875:Middle Aged; D011150:Popliteal Artery; D011474:Prosthesis Design; D018570:Risk Assessment; D012720:Severity of Illness Index; D016896:Treatment Outcome; D018608:Ultrasonography, Doppler; D014654:Vascular Patency