The Advantage of Common Femoral Endarterectomy Alone or Combined with Endovascular Treatment
Vascular Specialist International
; : 65-71, 2018.
Article
in English
| WPRIM (Western Pacific)
| ID: wpr-742476
Responsible library:
WPRO
ABSTRACT
PURPOSE:
Although common femoral artery endarterectomy (CFAE) is regarded as the standard treatment modality for common femoral artery (CFA) disease, availability of advanced endovascular techniques has resulted in an increased number of CFA disease being treated. We evaluated clinical outcomes in a contemporary series of patients who were treated for CFA disease using endarterectomy alone or combined with endovascular treatment. MATERIALS ANDMETHODS:
We retrospectively reviewed 46 patients from November 2001 through December 2007. The treated lesions were divided into 4 groups based on operative procedure group I (n=11), CFAE alone; group II (n=15), CFAE and iliac artery (IA) endovascular treatment; group III (n=6), CFAE and superficial femoral artery (SFA) endovascular treatment; group IV (n=14), CFAE and IA and SFA endovascular treatment or bypass surgery.RESULTS:
The degree of CFA steno-occlusion was not different among the groups. The 3-year primary patency rates of each group were 88.9±10.5%, 60.0±14.5%, 62.5±21.3%, and 83.9±10.4%, respectively. The 3-year primary assisted patency rates were 100%, 70.0±13.0%, 62.5±21.3%, and 89.3±10.4%, while 3-year secondary patency rates were 100%, 80.0±13.0%, 62.5±21.3%, and 92.3±7.4%, respectively. There was no procedure-related mortality. Significant improvement of ankle-brachial index was achieved in all groups.CONCLUSION:
CFAE alone is the treatment of choice for excellent patency and clinical improvement in steno-occlusive lesions confined to the CFA. In multiple steno-occlusive diseases, this procedure could be combined with endovascular procedures to reduce the operative risk in conditions with high morbidity.
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Surgical Procedures, Operative
/
Retrospective Studies
/
Mortality
/
Endarterectomy
/
Ankle Brachial Index
/
Femoral Artery
/
Endovascular Procedures
/
Iliac Artery
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
Language:
English
Journal:
Vascular Specialist International
Year:
2018
Document type:
Article