Division of Vascular Surgery, University of Cincinnati, Cincinnati, OH 45267, USA.
Semin Vasc Surg. 2009 Dec;22(4):240-4. doi: 10.1053/j.semvascsurg.2009.10.006.
Endovascular techniques for treatment of infrainguinal arterial occlusive disease continue to dominate care for most symptomatic vascular patients. Diabetic patients with gangrene represent a subset of patients who can benefit from a combination of open and percutaneous techniques because of the multilevel nature of the disease. Most commonly, these involve surgical treatment of the infrageniculate disease with a distal origin bypass coupled with endovascular treatment of the ipsilateral superficial femoral artery. These approaches allow care to be delivered in a single setting, avoiding issues of staged procedures. Although published results from hybrid treatment are limited, the obvious patient benefit ensures that these techniques will continue to be important for vascular patient care.
腔内技术治疗下肢动脉闭塞性疾病继续主导大多数有症状的血管患者的治疗。伴有坏疽的糖尿病患者是可以从开放和经皮技术联合治疗中获益的亚组患者，因为这些患者的疾病具有多水平的性质。最常见的情况是，通过伴行的旁路手术治疗膝下病变，同时腔内治疗对侧股浅动脉，以此来进行治疗。这些方法可在单一治疗环境中进行，避免分期手术的问题。虽然杂交治疗的发表结果有限，但明显的患者获益确保了这些技术将继续对血管患者的护理非常重要。
