Objectives: Common femoral endarterectomy (CFE) is an increasingly important vascular surgical technique. Standard endarterectomy with patch (SEP) involves closure with a prosthetic, bioprosthetic, or vein patch. Eversion endarterectomy (EE) involves transection of the distal common femoral artery (CFA) just proximal to its bifurcation, EE of the CFA and proximal profunda femoris arteries, and primary end-to-end reconstruction. Over the past decade, we have increasingly used EE and herein review our outcomes with this technique and SEP outcomes during the same time period.Methods: We retrospectively analyzed 142 patients who underwent CFE from 2007 to 2017. Technique (EE vs SEP), demographics, comorbidities, and concurrent procedures were identified. Major adverse events including infection, stenosis, occlusion of the CFE, major amputation, and death were recorded. Fisher's exact test was used to compare categorical variables and t-test to compare means.
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