Vol. 30 No. 1 (2026)
VASCULAR SURGERY

Long-term results of treatment of ilio-femoral segment by hybrid and endovascular methodsby hybrid and endovascular methods

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  • Shoraan B. Saaya,
  • Vladimir B. Starodubtsev,
  • Оlesya S. Osipova,
  • Аlexander А. Gostev,
  • Аndrey А. Karpenko,
  • Dmitry А. Sirota,
  • Аlexander V. Bogachev-Prokophiev
Shoraan B. Saaya
Meshalkin National Medical Research Center
Vladimir B. Starodubtsev
Meshalkin National Medical Research Center
Оlesya S. Osipova
Meshalkin National Medical Research Center
Аlexander А. Gostev
Meshalkin National Medical Research Center
Аndrey А. Karpenko
Meshalkin National Medical Research Center
Dmitry А. Sirota
Meshalkin National Medical Research Center
Аlexander V. Bogachev-Prokophiev
Meshalkin National Medical Research Center
DOI: https://doi.org/10.21688/1681-3472-2026-1-78-89

Published 2026-04-14

Keywords

  • atherosclerosis; endarterectomy; endovascular therapy; nitinol stent; vascular surgery

How to Cite

Saaya, S. B., Starodubtsev, V. B. ., Osipova, O. S., Gostev, A. A., Karpenko, A. A., Sirota, D. A., & Bogachev-Prokof’ev, A. V. (2026). Long-term results of treatment of ilio-femoral segment by hybrid and endovascular methodsby hybrid and endovascular methods. Patologiya Krovoobrashcheniya I Kardiokhirurgiya, 30(1), 78–89. https://doi.org/10.21688/1681-3472-2026-1-78-89

Copyright (c) 2026 Saaya et al.

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Abstract

Introduction. The significance of this study lies in its lack of clear guidelines for the selection of surgical treatment options for patients with iliofemoral occlusive disease.

Objective. The objective of this study was to evaluate the longterm outcomes of endovascular and hybrid interventions for the treatment of occlusive lesions in the iliofemoral artery segment.

Methods. A total of 62 patients were randomized (n = 31 in the endovascular treatment (EVT) group, n = 31 in the hybrid treatment (HT) group). In the EVT group, an interwoven nitinol stents were implanted in patients after recanalization and balloon angioplasty of the iliac and common femoral arteries. In the HR group, patients underwent endarterectomy from the common femoral artery with xenopericardial patch repair, recanalization and stenting of the iliac arteries with using an interwoven nitinol stent. The follow-up period was 3 years.

Results. Thirty-day complications occurred in 3 (9.7 %) of the EVT group and 7 (22.6 %) of the HT group. The primary patency rate after 36 months was 60 % in the EVT group and 80 % in the HT group. Secondary patency rates at 36 months were 83 % and 87 %, respectively. Survival and limb preservation rates did not differ significantly between the groups at 36-month follow-up.

Conclusion. This study supports the use of hybrid treatment over endovascular stenting, as it provides greater safety and primary patency during a three-year follow-up period.

Received 8 September 2025. Revised 19 November 2025. Accepted 29 January 2026.

Informed consent
The patient’s informed consent to use the records for medical purposes was obtained.

Funding
The study did not have sponsorship.

Conflict of interest
The authors declare no conflict of interest.

Сontribution of the authors

Conception and study design: Sh.B. Saaya, V.B. Starodubtsev, А.А. Gostev, А.А. Karpenko

Data collection and analysis: Sh.B. Saaya, О. S. Osipova, А.А. Gostev

Statistical analysis: Sh.B. Saaya, V.B. Starodubtsev, O.S. Osipova, A.A. Gostev
Drafting the article: Sh.B. Saaya, О.S. Osipova, А.А. Gostev

Critical revision of the article: А.А. Karpenko, D.А. Sirota, А.V. Bogachev-Prokophiev

Final approval of the version to be published: all authors

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