Hybrid vascular procedures combine open surgical techniques with minimally invasive endovascular interventions in a single operation. This approach allows vascular surgeons to treat complex arterial or venous diseases more effectively, often with fewer incisions, shorter recovery times, and reduced overall risk.

These procedures are particularly useful when a patient’s condition cannot be managed fully with either open surgery or endovascular methods alone. Common examples include:

• Hybrid treatment of peripheral artery disease, where open bypass is combined with angioplasty or stenting in the same limb

• Aortic aneurysm repairs, where open exposure of a difficult artery is followed by endograft placement

• Access salvage procedures, blending open fistula revision with balloon angioplasty

Hybrid procedures are typically performed in advanced vascular theatres (hybrid ORs) equipped for both open and endovascular work, often under local or regional anesthesia with real-time imaging.

This strategy allows for personalized treatment, especially in patients with multiple blockages, prior surgeries, or limited surgical options. It reduces the need for staged operations and enhances outcomes by leveraging the strengths of both approaches.

Hybrid vascular surgery represents a modern, adaptable solution for managing complex vascular pathologies with a focus on patient safety, efficiency, and long-term success.