Outcomes of Isolated Endarterectomy and Patch Angioplasty of the Common Femoral Artery According to Current Inclusion Criteria for Endovascular Treatment

Suehyun Park; Taewan Ku; Deokbi Hwang; Woo-Sung Yun; Hyung-Kee Kim; Seung Huh

doi:10.5758/vsi.220040

추천

검색

자료유형: 학술저널

저자정보: Suehyun Park (Division of Vascular Surgery Department of Surgery Kyungpook National University Chilgok Hospital D) Taewan Ku (Division of Vascular Surgery Department of Surgery Kyungpook National University Hospital School of) Deokbi Hwang (Division of Transplantation and Vascular Surgery Department of Surgery Kyungpook National Universit) Woo-Sung Yun (Division of Transplantation and Vascular Surgery Department of Surgery Kyungpook National Universit) Hyung-Kee Kim (Department of Surgery School of Medicine Kyungpook National University Daegu Korea) Seung Huh (Department of Surgery Kyungpook National University School of Medicine Daegu Korea)

저널정보: 대한혈관외과학회 Vascular Specialist International Vascular Specialist International Vol.38 No.4

발행연도: 2022.12

수록면: 32 - 32 (1page)

DOI: 10.5758/vsi.220040

이용수

📌

연구주제

📖

연구배경

🔬

연구방법

🏆

연구결과

초록· 키워드

오류제보하기

Purpose: This study aimed to evaluate the outcomes of isolated common femoral endarterectomy with patch angioplasty (IFEA) in the endovascular era. Materials and Methods: In 2012-2022, 189 limbs underwent femoral endarterectomy with patch angioplasty. Of them, 45 IFEAs were included. We evaluated safety based on early complications; efficacy with primary patency (PP) and reintervention, above-ankle amputation, or stenosis (RAS)-free survival. We also evaluated lesion characteristics and outcomes according to the inclusion criteria (IC) of vascular mimetic implant-common femoral artery (VMI-CFA) stenting trial. Results: Forty-one patients were male, and 30 IFEAs were required for claudication. No cases of early mortality occurred. Ten limbs (22%) developed local/nonvascular complications (hematoma, 3; lymphocele, 5; wound infection, 2), of which 8 resolved spontaneously. The overall PP and secondary patency rates were 100% at 1 year and 87% and 97% at 3 years, respectively. Twenty-one lesions (47%) did not meet the IC. The PP within the IC was 100% at 1 and 3 years, and the PP outside the IC was 100% at 1 year and 73% at 3 years (P=0.068). The overall RAS-free survival rates were 91% at 1 year and 81% at 3 years. All cases of RAS occurred in lesions outside the IC. The multivariate analysis showed that dialysis was associated with poor RAS-free survival (adjusted odds ratio, 8.56; 95% confidence interval, 1.9-35.5; P=0.005). Conclusion: The recent VMI-CFA trial results should be interpreted with caution. IFEA is a low-risk and durable procedure; however, careful follow-up is warranted in patients undergoing dialysis.

#Endarterectomy #Common femoral artery #Stents #Treatment outcome

참고문헌 (0)

참고문헌 신청

참고문헌이 DBpia에서 서비스 중이라면, [참고문헌 신청]을 통해 등록해보세요

함께 읽어보면 좋을 논문

논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!

이 논문의 저자 정보

Suehyun Park

소속기관 Division of Vascular Surgery Department of Surgery Kyungpook National University Chilgok Hospital D