Hybrid Approaches

in Overview of Vascular Disease

Applied

Type

Addition

Confidence

80%

Created

Mar 27, 2026

Evidence

2 sources

Rationale

The section was expanded to include new 2025 evidence regarding the application of hybrid techniques in mesenteric ischemia and extracranial carotid artery aneurysms. Abbreviations (TEA, ECAA) were expanded on first use as per guidelines. The existing table and citation were preserved.

Evidence

Alonso A et al. Endovascular Management of Acute and Chronic Mesenteric Ischemia. Annals of Vascular Surgery. 2025. PMID: 40246279.
Verified source
PubMedDOI
Willemsen SI et al. Endovascular and Hybrid Treatment of Extracranial Carotid Artery Aneurysms: Long Term Results from the International Carotid Aneurysm Registry. European Journal of Vascular and Endovascular Surgery. 2025. PMID: 41338378.
Verified source
PubMedDOI

Content Changes

CombineHybrid approaches combine open and endovascular methods, e.g.,such as iliac stenting +with femoral TEAthromboendarterectomy (TEA) or visceral debranching +with thoracic endovascular aortic repair (TEVAR), offering flexibility for complex anatomy [@bisdas2013]. These strategies are increasingly utilized in the management of acute and chronic mesenteric ischemia, particularly for complex lesions requiring combined access [@alonso2025]. Furthermore, long-term registry data support hybrid repair as a durable treatment modality for extracranial carotid artery aneurysms (ECAA) [@willemsen2025].

<!-- type: comparison -->
**Table 1.2. Comparison of Treatment Options**

| **Approach** | **Advantages** | **Disadvantages** |
| --- | --- | --- |
| **Open** | Durable outcomes, proven long-term survival | Higher perioperative risk, longer recovery |
| **Endovascular** | Minimally invasive, lower perioperative risk | Requires surveillance, higher reintervention rates |
| **Hybrid** | Tailored to complex cases | Technically demanding, resource-intensive |
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