GUWAHATI, Sept 5 � GNRC Hospitals achieved a rare feat when its team of heart surgeons successfully carried out the first �hybrid vascular surgery� of the North-east on a 65-year-old male patient from Nagaland.
The patient was admitted on an emergency basis after complaining of severe pain in his left leg due to poor blood flow, and an evaluation with CT angiography revealed the main arterial supply to the left leg (the left common iliac artery) to be totally blocked with an organized thrombus.
�The patient also had narrowing of the main artery to the right leg. Coronary angiography showed severe coronary artery disease (blockage of the arteries of the heart). He was treated by off pump Coronary Artery Bypass Grafting surgery and then after three days once he was stable after the major heart operation he underwent hybrid vascular surgery to normalize blood supply to both his lower limbs,� a statement from GNRC said. By this procedure, the interventional radiology team performed endovascular balloon dilation and stenting of the right iliac artert narrowing, and the cardiovascular surgical team performed open surgical cross over femoro-femoral bypass thereby restoring normal blood flow to both legs.
Hybrid vascular surgery consists of endovascular stenting and open surgical revascularization procedures. Hybrid surgery is of immense benefit to the patient because of its less invasive nature and non requirement of extensive venous graft material and the ability to overcome long segment arterial stenosis.
The entire procedure was planned and executed by chief cardiac surgeon of GNRC, Dr Sunil Dawka, and his team consisting of consultant cardiac surgeon Dr Bikas Rai Das and others including Dr Prasanta Bora and Dr Anup Dutta. The interventional radiology team consisted of Dr Firdauss Ahmed and Dr Pranjal Phukan.
A review of literature concludes that hybrid vascular surgery for severe lower extremity arterial disease is a long lasting and reliable therapeutic option tailored for the needs of high-risk patients.