title: Long-Term Results of a Hybrid Revascularization Procedure for Peripheral Arterial Disease.
abstract: OBJECTIVE
  To evaluate the efficacy of hybrid procedure for peripheral arterial disease (PAD), we compared the cases treated using the hybrid procedure with those treated using open revascularization (bypass alone) in our facilities.
  
  
  METHODS
  We retrospectively reviewed 204 patients who underwent revascularization for PAD between 2007 and 2013. We divided the patients into two groups based on the type of procedure. Group 1 included patients who underwent the hybrid procedure, that is, doing endovascular therapy (EVT) either femoral or iliac resion and added the bypass procedure (infragenicular vein bypass) to the below knee artery, and group 2 included patients who underwent only bypass procedure (used autovein), that is, central anastomotic region was femoral artery region and peripheral anastomotic region was below knee artery. We evaluated various factors between the two groups, including the primary patency rate, secondary patency rate, amputation-free survival rate, and determined the efficacy of the hybrid procedure for PAD.
  
  
  RESULTS
  In the patient's characteristics, there was significant difference between the two groups in the cases with cerebrovascular disease, only (p = 0.03). There were no significant differences in the primary or secondary patency rates, and the amputation-free survival rate.
  
  
  CONCLUSIONS
  Primary patency rate, secondary patency rate, and amputation-free survival rate of the hybrid procedure were comparable to those of bypass (alone) procedure. The hybrid procedure is therefore an acceptable strategy for patients with PAD.
authors.forename: Jun
authors.initials: J
authors.lastname: Okadome
authors.forename: Takuya
authors.initials: T
authors.lastname: Matsumoto
authors.forename: Yukihiko
authors.initials: Y
authors.lastname: Aoyagi
authors.forename: Daisuke
authors.initials: D
authors.lastname: Matsuda
authors.forename: Shinichi
authors.initials: S
authors.lastname: Tanaka
authors.forename: Eisuke
authors.initials: E
authors.lastname: Kawakubo
authors.forename: Ryoichi
authors.initials: R
authors.lastname: Kyuragi
authors.forename: Kouichi
authors.initials: K
authors.lastname: Morisaki
authors.forename: Kenichi
authors.initials: K
authors.lastname: Homma
authors.forename: Kazuomi
authors.initials: K
authors.lastname: Iwasa
authors.forename: Takahiro
authors.initials: T
authors.lastname: Ohmine
authors.forename: Atsushi
authors.initials: A
authors.lastname: Guntani
authors.forename: Ryota
authors.initials: R
authors.lastname: Fukunaga
authors.forename: Yoshihiko
authors.initials: Y
authors.lastname: Maehara
mesh_terms: D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D058729:Peripheral Arterial Disease / Q000453:epidemiology* / Q000601:surgery; D012086:Reoperation; D012189:Retrospective Studies; D058017:Vascular Grafting