Management of flush superficial femoral artery occlusions with combined open femoral endarterectomy and endovascular femoral-popliteal angioplasty and stent-grafting

Annals of Vascular Surgery
Daniel J HayesKeith D Calligaro

Abstract

Flush occlusions of the superficial femoral artery (SFA) often preclude endovascular interventions for femoral-popliteal lesions. Furthermore, some investigators have found poor results with angioplasty and stenting or stent-grafting of such lesions. For suitable patients with TransAtlantic Inter-Society Consensus (TASC) C and D femoral-popliteal lesions involving a flush occlusion of the SFA, we have adopted a technique to manage this disease pattern by combining femoral endarterectomy through a single, small groin incision with distal superficial femoral-popliteal stent-grafting. In this article we have described our technique and results in 14 consecutive patients. A total of 14 patients who underwent this hybrid procedure between May 2005 and April 2009 were identified from our prospectively gathered registry. Data on indications, complications, length of hospital stay, pre- and postoperative ankle-brachial indices, patency determined by duplex ultrasonography, limb salvage rates, and functional results were collected. Of the 14 patients, nine were operated on for disabling claudication, two for rest pain, and three for tissue loss; three fit TASC C criteria and the remaining 11 fit TASC D. In all, 12 patients had stent-gra...Continue Reading

References

Mar 10, 2000·Journal of Vascular Surgery·R M GreenH E Garrett
Jan 15, 2003·Journal of Vascular and Interventional Radiology : JVIR·Thomas JahnkeJoachim Brossmann
Apr 9, 2004·Techniques in Vascular and Interventional Radiology·Richard R SaxonDonald J Ponec
Jun 7, 2005·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·O HartungY S Alimi
Mar 8, 2006·Journal of Vascular Surgery·Syed N HaiderGregor D Shanik
Jan 16, 2007·Journal of Vascular Surgery·L NorgrenUNKNOWN TASC II Working Group
Nov 7, 2007·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·Y S AlimiM Dubuc
Nov 16, 2007·Journal of Vascular and Interventional Radiology : JVIR·Richard R SaxonDonald J Ponec
Apr 1, 2008·Journal of Vascular and Interventional Radiology : JVIR·Michael J VertaDavid Hahn
Jun 2, 2009·Journal of Vascular Surgery·Philip P GoodneyRobert M Zwolak

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Citations

Feb 2, 2015·Journal of Vascular Surgery·UNKNOWN Society for Vascular Surgery Lower Extremity Guidelines Writing GroupUNKNOWN Society for Vascular Surgery
Dec 16, 2011·Journal of Vascular Surgery·Carlos F BecharaPanagiotis Kougias
Aug 22, 2020·The International Journal of Lower Extremity Wounds·Letizia PieruzziAlberto Piaggesi

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