Hybrid procedures

in Atherosclerosis and Risk Factors

Applied

Type

Addition

Confidence

95%

Created

Mar 19, 2026

Evidence

1 source

Rationale

The 2024 PAD multi-society guidelines (Gornik et al.) provide high-level support for hybrid procedures in multilevel disease. The original text was very brief; I expanded it to include the clinical rationale (reducing morbidity vs. open surgery) and used the specific terminology (CFA endarterectomy) emphasized in the new guidelines. I also expanded the PAD abbreviation on first use as required.

Evidence

Gornik HL, et al. 2024 ACC/AHA/AACVPR/APMA/ABC/SCAI/SVM/SVN/SVS/SIR/VESS Guideline for the Management of Lower Extremity Peripheral Artery Disease. Journal of the American College of Cardiology. 2024. PMID: 38743805.
Verified source
PubMedDOI

Content Changes

* Hybrid procedures combine open surgical and endovascular techniques, typically performed in a single setting to treat multilevel disease [@svs2024-gornik].
* Example: common femoral artery (CFA) endarterectomy combined with proximal iliac stenting +or femoraldistal endarterectomy.infrainguinal endovascular intervention [@svs2024-gornik].
* IncreasinglyThese usedapproaches are increasingly utilized to reduce surgical morbidity compared to completely open reconstruction while achieving durable patency in complex, multilevel disease.peripheral artery disease (PAD) [@svs2024-gornik].
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