Szeml & Eacute;Letv & Aacute;Ltoz & Aacute;S Az Als & Oacute; V & Eacute;Gtagi & Eacute;Rrekonstrukci & Oacute;K Gyakorlat & Aacute;Ban & Eacute;Rseb & Eacute;Szeti

Introduction: Endovascular interventions were initially performed by radiologists. Nowadays properly trained vascu-lar surgeons also effectively perform these interventions. We wished to apply this widespread practice at our univer-sity because without this advancement the number of reconstructive surgeries was expected to decrease significantly.Objective: Both radiologists and vascular surgeons perform endovascular interventions at our university. We com-pared the outcomes of lower extremity endovascular interventions between the two institutes.Method: We included patients who underwent lower extremity endovascular interventions between 01. 01. 2012 and 31. 12. 2019. We compared the risk factors, treated anatomical regions, hospitalization time and complication rate. During the one-year follow-up, we examined the occurrence of redo surgeries, amputations and mortality. Results: 653 interventions were performed by radiologists and 573 by vascular surgeons. Vascular surgeons carried out more interventions in the infrainguinal region (63.2%), while radiologists in the suprainguinal region (68.6%). The hospitalization time after percutaneous interventions (2.5 +/- 4.4 days vs. 2.4 +/- 2.5 days, p = 0.78), and the rate of complications after minimally invasive interventions did not show significant difference (30/653-4.6% vs. 11/257-4.3%, p = 0.837). Redo surgeries (73/485-15.1% vs. 33/562-5.9%, p<0.001) and amputations (31/485-6.4% vs. 12/562-2.1%, p<0.001) occurred more frequently in the surgical group. However, the incidence of chronic limb ischaemia was also higher (45.4% vs. 38.6%, p = 0.016). There was no significant difference in the mortality (5.8% vs. 3.9%, p = 0.16). Conclusion: Both institutes had similar efficacy in performing peripheral interventions on solitary vascular lesions. Complications occurred more frequently in the surgical group, but the majority of these patients had extended atherosclerotic diseases.