Hybrid intervention in occlusion of the terminal aorta (case report)

• Syromyatnikov D.D.
• Markarov A.E.
• Shchegolev A.A.
• Papoyan S.A.
• Abramov I.S.

Abstract

According to the national guidelines for the diagnosis and treatment of diseases of the lower extremity arteries of 2019, extended occlusion of the aorto-submandibular segment on both sides is an indication for aorto-femoral bifurcation bypass surgery. The current level of development of vascular surgery and endovascular methods of surgical treatment allows the use of a minimally invasive hybrid approach in the treatment of such a group of patients.

This clinical case describes a minimally invasive hybrid approach in the treatment of a patient with extended occlusion of the aorto-iliac segments on both sides, with hemodynamically significant damage to the common femoral arteries and the formation of critical ischemia of the left lower limb.

Funding. The study had no financial support.

Conflict of interest. The authors declare no conflicts of interest.

Authors’ contribution. Study conception and design – Syromyatnikov D.D., Papoyan S.A., Shchegolev A.A.; data collection and handling – Syromyatnikov D.D., Papoyan S.A.; statistical processing – Papoyan S.A.; draft manuscript preparation – Syromyatnikov D.D.; manuscript revision – Shchegolev A.A., Markarov A.E., Abramov I.S.

For citation: Syromyatnikov D.D., Markarov A.E., Shchegolev A.A., Papoyan S.A., Abramov I.S. Hybrid intervention in occlusion of the terminal aorta. Angiology and Vascular Surgery. Journal named after Academician A.V. Pokrovsky. 2024; 30 (2). 106–11. DOI: https://doi.org/10.33029/1027-6661-2024-30-2-106-111

Keywords: occlusion of the terminal aorta; hybrid techniques; critical ischemia; iliac artery stenting; remote endarterectomy