{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,19]],"date-time":"2025-08-19T10:06:36Z","timestamp":1755597996143,"version":"3.37.3"},"reference-count":17,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2020,5,28]],"date-time":"2020-05-28T00:00:00Z","timestamp":1590624000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2020,5,28]],"date-time":"2020-05-28T00:00:00Z","timestamp":1590624000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2020,5,28]],"date-time":"2020-05-28T00:00:00Z","timestamp":1590624000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2020,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>We assessed early and late outcomes following hybrid intervention (common femoral artery endarterectomy and superficial femoral artery (SFA) stenting) versus above\u2010the\u2010knee (AK) femoro\u2010popliteal bypass performed for peripheral artery occlusive disease (PAOD) in a double\u2010center retrospective comparative cohort study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and methods<\/jats:title><jats:p>From January 2006 to December 2017, 82 hybrid revascularizations with femoral endarterectomy and SFA stenting (HY Group) and 98 AK femoro\u2010popliteal bypasses with femoral endarterectomy (BP Group) were performed at two academic vascular centers. The two groups were compared in terms of preoperative and intraoperative details and of perioperative (&lt;30\u00a0days) outcomes with \u03c7<jats:sup>2<\/jats:sup> test. Long\u2010term results were compared using Kaplan\u2013Meier curves and log\u2010rank test.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>No differences were found in demographics variables, risk factors, comorbidities and clinical presentation between the two groups. Also perioperative outcomes were similar between the two groups. Median duration of follow\u2010up was 38\u00a0months. At five years, the estimated survival rate was 60% in HY Group and 77.5% in BP Group (<jats:italic>p<\/jats:italic>\u2009=\u20090.002) Five\u2010year primary patency rates were 46% in HY Group and 64% in BP Group (<jats:italic>p<\/jats:italic>\u2009=\u20090.005). Overall, 13 patients in HY Group required conversion to open surgery and 6 patients in BP Group underwent below\u2010knee (<jats:italic>n<\/jats:italic>\u2009=\u20094) or distal (<jats:italic>n<\/jats:italic>\u2009=\u20092) bypass. The 5\u2010year rate of limb maintenance was 85% in HY Group and 94% in BP Group (<jats:italic>p<\/jats:italic>\u2009=\u20090.1) and was not significantly different regardless of presentation, claudication or critical limb ischemia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In patients with PAOD due to complex long lesions of the infrainguinal arteries, open\u2010surgical treatment with AK bypass provided better long\u2010term survival and patency rates compared to a hybrid approach.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-020-05616-w","type":"journal-article","created":{"date-parts":[[2020,5,28]],"date-time":"2020-05-28T20:02:23Z","timestamp":1590696143000},"page":"3555-3563","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["A Retrospective Comparison Between Hybrid Treatment and Prosthetic Above\u2010the\u2010Knee Femoro\u2010Popliteal Bypass in the Management of the Obstructive Disease of the Superficial Femoral Artery"],"prefix":"10.1002","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3814-5961","authenticated-orcid":false,"given":"Walter","family":"Dorigo","sequence":"first","affiliation":[{"name":"Department of Vascular Surgery University of Florence Largo Brambilla 3 50134 Florence Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabriele","family":"Piffaretti","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery University of Insubria Insubria Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aaron","family":"Fargion","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery University of Florence Largo Brambilla 3 50134 Florence Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicola","family":"Rivolta","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery University of Insubria Insubria Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ruth L.","family":"Bush","sequence":"additional","affiliation":[{"name":"College of Medicine University of Houston Houston USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elena","family":"Giacomelli","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery University of Florence Largo Brambilla 3 50134 Florence Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chiara","family":"Guttadauro","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery University of Insubria Insubria Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrizio","family":"Castelli","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery University of Insubria Insubria Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlo","family":"Pratesi","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery University of Florence Largo Brambilla 3 50134 Florence 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