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Date Published: 10/03/2025
Abstract Views: 143
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DOI: https://doi.org/10.51298/vmj.v547i2.12943
Issue
Vol. 547 No. 2 (2025)
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Các bài báo
How to Cite
Trần, M. B. L., Phạm, H., & Lâm, V. N. (2025). THE RESULTS OF HYBRID SURGERY IN TREATMENT OF CHRONIC ILIAC-FEMORAL ARTERY OCCLUSION. Vietnam Medical Journal, 547(2). https://doi.org/10.51298/vmj.v547i2.12943

THE RESULTS OF HYBRID SURGERY IN TREATMENT OF CHRONIC ILIAC-FEMORAL ARTERY OCCLUSION

Minh Bảo Luân Trần, Hưng Phạm, Văn Nút Lâm

Main Article Content

Abstract

Objective: Evaluating the results of Hybrid surgery in treatment of chronic iliac-femoral artery occlusion. Methods: A retrospective study, describing a series of cases conducted at the Department of Vascular Surgery, Cho Ray Hospital. Results: from August 2018 to February 2022, 31 patients were treated for iliofemoral artery occlusion with Hybrid surgery. Mean age was 69.2 ± 8.2 (56 – 86); male 29 cases (94%), female 2 cases (6%); The majority of patients have limb-threatening chronic anemia including pain at rest, ulceration or necrosis, corresponding to Rutherford stages 4, 5 and 6. Lesions at the common and external iliac arteries 74.1%, superficial femoral artery 48.4%; TASC C 26% and TASC D 74%. Hybrid surgery: Endarterectomy ± Profundaplasty 100%, iliac artery intervention: 2 cases (6.5%) balloon, 29 cases (93.5%) balloon and stent; intervention in 8/15 associated superficial femoral artery occlusion. The mean operative durations was 214.8 ± 81.5 minutes. Complications: 2 cases of post-operative distal arterial embolism, 3 cases of acute kidney failure and 1 case of post-operative gastrointestinal bleeding, 2 cases of post-operative death due to myocardial infarction. Technical success rate reached 100%. After 1 year follow-up: clinical success rate 77%, hemodynamic success rate 80.8%, hemodynamic success rate 85.2%; 2 cases died after 1 year due to stroke and pneumonia. Conclusion: Hybrid surgery in treatment of chronic iliac-femoral artery stenosis: highly successful technically as well as hemodynamically and relatively safe with low complication rate. Patients with high perioperative risk, minimal intervention iliac artery can be priority performed to save the limb and limit systemic complications.

Article Details

Keywords

Hybrid surgery, chronic iliac-femoral artery occlusion.

References

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