The Optimal Hybrid Revascularization Approach for Multilevel Peripheral Arterial Disease
A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Vascular Medicine".
Deadline for manuscript submissions: 30 January 2026 | Viewed by 18
Special Issue Editor
Interests: peripheral arterial disease; abdominal aortic aneurysm; varicose vein; deep vein thrombosis; open bypass surgery; endovascular surgery
Special Issue Information
Dear Colleagues,
Hybrid revascularization—combining endovascular and open surgical techniques—has emerged as a promising approach for treating multilevel peripheral arterial disease (PAD). This approach relies on expertise in both endovascular methods and open surgical procedures, with common femoral endarterectomy serving as a cornerstone in the treatment of lower extremity arterial disease.
Our retrospective analysis of seventy-six patients demonstrated a high rate of technical success and limb preservation with hybrid surgery, highlighting the critical role of femoral endarterectomy in treatment. Similarly, a multi-center study involving one hundred and thirty-four patients reported consistently successful procedural outcomes, with sustained vessel patency over time and a strong record of amputation-free survival. These findings reinforce the effectiveness of hybrid revascularization in managing complex peripheral arterial disease and underscore its potential as a reliable therapeutic approach.
These findings suggest that hybrid revascularization is a viable option for managing multilevel PAD, offering favorable outcomes in terms of technical success, limb salvage, and long-term patency. However, to further validate these promising results and refine the use of hybrid techniques in complex PAD cases, larger multi-center studies with extended follow-up are essential. Overall, hybrid revascularization holds significant potential for improving patient outcomes and advancing the treatment landscape for PAD.
Dr. Jin Hyun Joh
Guest Editor
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Keywords
- peripheral arterial disease
- revascularization
- endovascular procedure
- endarterectomy
- limb salvage
- patency
- hybrid procedures
- lower extremity
- stents
- angioplasty
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