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Copyright of Cirugía y Cirujanos is the property of Publicidad Permanyer SLU and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Cirugía y Cirujanos is the property of Publicidad Permanyer SLU and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Cirugía y Cirujanos is the property of Publicidad Permanyer SLU and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Cirugía y Cirujanos is the property of Publicidad Permanyer SLU and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: The objective of the study was to present patients with peripheral vascular disease (PVD) who underwent hybrid procedures at our institution, the results of these interventions for a 5-year period and determine patency, mortality, failure, and amputation rates compared to the literature., Material and Methods: Observational, single center, retrospective, and cross-sectional study which analyzed data gathered from the vascular quality initiative from patients who had hybrid revascularization procedures from January 2010 to December 2015., Results: 87 patients were identified: 51 (58%) male, 36 (41%) female, 9 (10%) had critical limb ischemia (CLI), and 78 (90%) claudication. We analyzed results of hybrid interventions in their variations. Technical success rate was 100%, patency at 2 years 88.5% (primary 65%, primary-assisted 18.3%, and secondary 4.5%) and 11.49% failure rate (lost patency < 1 year, conversion to open or/and amputation). Predictors of failure were: Female, previous chronic heart failure, longer length of stay, and previously transferred from another hospital. Amputation rate was 12.6% (10.3% major and 2.2% minor amputation), the only significant predictor was age (p = 0.035, odds ratio = 0.89) (0.806-99)., Conclusions: Hybrid procedures are effective to treat patients with either CLI or claudication. Our study had outcomes comparable to the literature, with similar patency, amputation, and complication rates. We conclude it is a safe and effective option for PVD with multi-level disease., (Copyright: © 2022 Permanyer.)

La aterosclerosis es una patología sistémica que afecta a todo el sistema vascular. El tabaquismo, la hiperlipidemia, la diabetes mellitus, la edad avanzada y la hipertensión son factores de riesgo conocidos para el desarrollo de aterosclerosis. El tratamiento quirúrgico en la enfermedad arterial periférica ha sido reemplazado por opciones de tratamiento endovascular en los últimos años debido a la mortalidad y la morbilidad. En nuestro estudio, nuestro objetivo fue presentar la efectividad de la aterectomía, el balón liberador de fármacos y la terapia combinada con valores determinados por espectroscopía de infrarrojo cercano en pacientes con enfermedad arterial periférica aterosclerótica. Material y métodos: Los pacientes con claudicación intermitente o isquemia crítica de la pierna (Rutherford clase 3 o más) han sido vistos en el estudio. Hubo 30 pacientes masculinos y 9 femeninos. Los pacientes fueron seguidos antes, en la primera hora después y en el tercer mes después del procedimiento, con un índice simultáneo de presión tobillo-brazo (ABI), mediciones de la distancia a pie y medición de la oxigenación de los tejidos mediante el método de espectroscopía de infrarrojo cercano (NIR). Resultado: cuando los pacientes con mediciones similares de ABI postoperatorio se evaluaron con NIR, se observó una mayor oxigenación venosa en los pacientes que usaron métodos de tratamiento combinados con aterectomía. Según estos resultados, pensamos que los métodos de tratamiento combinados con aterectomía han aumentado la mirocirculación y la circulación colateral más que otros métodos., Atherosclerosis is a systemic pathology involving the entire vascular system. Smoking, hyperlipidemia, diabetes mellitus, advanced age, and hypertension are known risk factors for the development of atherosclerosis. Surgical treatment in peripheral arterial disease (PAD) has been replaced by endovascular treatment options in recent years due to mortality and morbidity. In our study, we aimed to present the effectiveness of atherectomy, drug-eluting balloon, and combined therapy with values determined by near-infrared spectroscopy (NIRS) in patients they have atherosclerotic PAD. Materials and methods: Patients with intermittent claudication or critical leg ischemia (Rutherford class 3 or more) have been viewed in the study. There were 30 male and 9 female patients. Patients were followed up before, at the 1 st h after and at the 3 rd month after the procedure, with simultaneous ankle-brachial pressure index (ABPI), walking distance measurements, and measurement of tissue oxygenation by NIRS method. Results: When patients with similar post-operative ABPI measurements were evaluated with NIRS, venous oxygenation was observed higher in patients used treatment methods combined with atherectomy. According to these results, we thought that treatment methods combined with atherectomy have increased microcirculation and collateral circulation more than other methods., (Copyright: © 2021 Permanyer.)