• 作者：I. Herná ; ndez-Lahoz Ortiz^a ; ^{ignahernandez1974@yahoo.es} ; D. Couto Malló ; n^a ; J.M. Vá ; zquez Lago^b ; H. Cubillas Martí ; n^a ; J.J. Vidal Insua^a ; R. Garcí ; a Casas^a
• 关键词：Endarterectom&iacute ; a femoral ; Isquemia del miembro inferior ; Procedimiento endovascular
• 刊名：Angiolog¨ªa
• 出版年：2011
• 出版时间：November-December 2011
• 年：2011
• 卷：63
• 期：6
• 页码：235-242
• 全文大小：380 K

Introduction

Endovascular treatment combined with endarterectomy (EA) of the common femoral artery (CFA) is a good alternative to aorto-iliac and/or femoropopliteal surgery. The objective of this study is to analyse our experience in the hybrid treatment of EA in the CFA and simultaneous endovascular angioplasty.

Material and methods

A retrospective analysis was performed on patients with atherosclerotic disease of the CFA treated by means of EA with a patch and simultaneous endovascular iliac and/or femoropopliteal treatment between 2004 and 2010.

Results

A total of 50 patients were treated, of whom 44 (88 % ) were males, and with a mean age 69.4 ¡À 9.41 years. Critical ischaemia was present in 25 (50 % ) of cases. Femoral EA and iliac angioplasty was performed in Group 1: 36 (72 % ) of cases, and Group 2 with femoral EA and femoropopliteal angioplasty in Group 2: 14 (28 % ). The technical success was 94 % , with no perioperative mortality. The mean hospital stay was 10.7 ¡À 8.28 days. The median follow-up time was 24.18 months (IQR 9.6-34.4). The primary patency at 12, 24 and 36 months was 91 % , 83 % and 74 % , respectively. Within these same time periods the assisted primary patency rates were 94 % , 86 % and 81 % ; limb salvage was 92 % , 92 % and 88 % and a survival of 92 % , 86 % and 82 % , respectively. The primary patency was higher in Group 1 (log-rank test, P=.044).

Conclusions

Femoral EA with simultaneous endovascular angioplasty shows satisfactory results with a low morbidity and mortality and is a good alternative to classic surgery.