ABSTRACT
Hybrid procedures comprise both open and endovascular components and may be required when there is extensive or multilevel occlusive disease, extensive or multilevel aneurysmal disease, or a combination of open and aneurysmal disease. In some hybrid procedures, there is no alternative staged approach and the open component provides access for the endovascular component, which may not otherwise be easily available. Whenever a hybrid procedure is to be performed, be sure to prep the patient such that alternative access sites are available in case the planned procedure is not possible. When inflow aortic or iliac stenting is being performed with femoral endarterectomy, it is usually best to perform a thorough exposure while dissecting out the femoral artery. One of the key features of hybrid procedures is that there is typically the requirement for “working room” or usable length of artery between the open procedure and the endovascular procedure.
