Open surgical thrombarterectomy versus endovascular treatment in occlusive processes of the femoral artery bifurcation

Hoffmann-Wieker, Carola Marie; Ronellenfitsch, Ulrich; Rebelo, Artur; Görg, Nadine; Schwarzer, Guido; Ballotta, Enzo; Gouëffic, Yann; Böckler, Dittmar

doi:10.3238/arztebl.m2022.0331

Cited by 5 publications

(1 citation statement)

References 53 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…1) [1]. Die langfristigen Offenheitsraten für solche lokalen Rekonstruktionen sind mit einer Offenheitsrate von 98 % nach 3 Jahren sehr gut [2,3]. Bei vorliegendem kollateralisiertem Verschluss der A. femoralis superficialis, in Kombination mit einer relevanten Abgangsstenose der A. profunda femoris, kann schon die alleinige Rekonstruktion der Femoralisgabel unter Einbeziehung des proximalen Anteils der A. profunda femoris durch eine sog.…”

Section: Die Chirurgische Rekonstruktion Der Femoralisbifurkationunclassified

Zur operativen Therapie der peripheren arteriellen Verschlusskrankheit

Neufang

2023

Dtsch Med Wochenschr

View full text Add to dashboard Cite

Section: Die Chirurgische Rekonstruktion Der Femoralisbifurkationunclassified

Zur operativen Therapie der peripheren arteriellen Verschlusskrankheit

Neufang

2023

Dtsch Med Wochenschr

View full text Add to dashboard Cite

Gefäßchirurgische Behandlung multimorbider Patienten mit diabetischem Fußsyndrom (DFS)

Rümenapf

2024

Diabetologie

View full text Add to dashboard Cite

Analysis of interventional treatment options of the common femoral artery – a retrospective single center experience

Scheidhauer,

Moebius-Winkler,

Aftanski

et al. 2024

Vasa

View full text Add to dashboard Cite

Summary: Background: Due to the rapid development of treatment techniques of peripheral arterial disease (PAD) treatment is nowadays predominantly interventional. An exception are lesions of the common femoral artery (CFA), which should be treated surgically according to vascular guidelines. However, recent evidence has shown that endovascular techniques, e.g. stenting, have comparable clinical outcomes while causing fewer complications. The aim of the present analysis was to evaluate the therapeutic success of endovascular therapy of CFA lesions in a single center, all – comers registry. Patients and methods: All patients who were treated for a CFA lesion at the Department of Internal Medicine I of the University Hospital Jena in the period from 01/2017 to 12/2020 were included. Treatment success was determined by evaluating the ankle-brachial-index (ABI) pre- and post-interventional as well as after follow-up (FU), measuring walking distance (WD) and by target revascularization rate (TLR) and primary patency rate (PPR). Results: The analysis included 109 patients with a mean age of 73.4 years, with 67% (73) of those being men. 72 patients received interventional treatment, whereas 33 were treated surgically and 4 conservatively. Resting ABI in the overall cohort showed an increase from 0.5 to 0.7 post intervention (p=<0.05; mean FU-time: 6.5 months). In the interventional cohort ABI increases from 0.6 to 0.8 (p=<0.05; mean FU-time: 5,8 months) at FU and from 0.3 to 0.6 (p=<0.05; mean FU-time: 8,8 month) in the surgically treated group. The WD improved in the whole collective from 116.5 meter (m) to 152.5 m (p=<0.05). The TLR showed no significant difference with 8.1% after interventional treatment and 6.1% after vascular surgery in the present analysis (p=0.72) as well as PPR with 89.8% after EVT and 90.9% after surgical approach (p=0.87). The intra-/postinterventional complication rate was 5.5% in the intervention group, compared to postoperative complication rate of 15.2% in the surgically treated group. Conclusions: The present analysis demonstrates that even in a real-world, all-comers collective, interventional therapy for CFA lesions was safe and equally effective as the surgically treated patient cohort. Continuing to generate registry data is important to eventually initiate a paradigm shift.

show abstract

Open surgical thrombarterectomy versus endovascular treatment in occlusive processes of the femoral artery bifurcation

Cited by 5 publications

References 53 publications

Zur operativen Therapie der peripheren arteriellen Verschlusskrankheit

Zur operativen Therapie der peripheren arteriellen Verschlusskrankheit

Gefäßchirurgische Behandlung multimorbider Patienten mit diabetischem Fußsyndrom (DFS)

Analysis of interventional treatment options of the common femoral artery – a retrospective single center experience

Contact Info

Product

Resources

About