ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Our experiences on endovascular and hybrid treatment of peripheral arterial diseases
Veysel Temizkan1, Alper Uçak1, İbrahim Alp1, Ejder Kardeşoğlu2, Arif Selçuk1, Murat Fatih Can1, Murat Uğur1, Ahmet Turan Yılmaz1
1Department of Cardiovascular Surgery, GATA Haydarpaşa Training Hospital, İstanbul, Turkey
2Department of Cardiology, GATA Haydarpaşa Training Hospital, İstanbul, Turkey
DOI : 10.5606/tgkdc.dergisi.2018.13411
Background: This study aims to present our experiences on endovascular and hybrid treatment of peripheral arterial diseases.

Methods: Between March 2008 and April 2016, 86 patients who underwent endovascular treatment and 17 patients who underwent hybrid treatment for peripheral arterial disease in our clinic were retrospectively analyzed. The treatment approaches, success of treatments, complications and outcomes of these patients were studied.

Results: No mortality was seen during the procedures. Following the procedure, the patients were hospitalized in the intensive care unit under standard heparin treatment for six hours at least. Anticoagulation was maintained with low-molecular-weighted heparin for three days, followed by dual oral antiaggregant (acetylsalicylic acid 100 mg + clopidogrel 75 mg). Repeated Doppler ultrasonography revealed no in-stent thrombosis or restenosis at the site of ballooning during hospitalization. None of the patients with normal renal functions preoperatively experienced severe renal failure. Although nearly all femorodistal interventions were performed in the antegrade way, none of the patients had bleeding complications at the site of intervention. All patients were discharged within 1 to 16 days.

Conclusion: Endovascular and hybrid modalities are safe and comfortable in the treatment of peripheral arterial diseases for vascular surgeons having a hybrid room.

Keywords : Endovascular treatment; hybrid treatment; peripheral arterial disease
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