Angioplasty of the Common Femoral Artery and Its Bifurcation

被引:42
|
作者
Thiney, Pierre-Olivier [1 ]
Millon, Antoine [1 ,2 ]
Boudjelit, Tarek [1 ]
Della Schiava, Nellie [1 ]
Feugier, Patrick [1 ]
Lermusiaux, Patrick [1 ,2 ]
机构
[1] CHU, Grp Hosp Edouard Herriot, Serv Chirurg Vasc, Lyon, France
[2] Univ Lyon 1, Fac Med Lyon 1, F-69365 Lyon, France
关键词
ENDOVASCULAR TREATMENT; STENT FRACTURES; CLINICAL IMPACT; LESIONS; REVASCULARIZATION; ENDARTERECTOMY; IMPLANTATION; ISCHEMIA; DISEASE; FLEXION;
D O I
10.1016/j.avsg.2015.02.001
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background: To evaluate the efficacy of percutaneous transluminal angioplasty (PTA) of atherosclerotic lesions of the common femoral artery (CFA) and its bifurcation. Methods: From 2009 to 2013, 53 patients (43 men, average age, 68 years) were included in a single-center, nonrandomized, prospective study. Indication was disabling intermittent claudication (n = 36) or chronic critical limb ischemia (n = 17). Thirty-four procedures (64%) were isolated CFA PTA, whereas 7 of 53 (13%) involved inflow (including 4 iliac occlusions) and 12 of 53 (23%) involved outflow vessels. Primary stenting was performed in 50 cases (95%). CFA occlusions were recanalized in 4 of 53. Lesions involved the bifurcation in 22 cases (40%). Follow-up consisted of clinical examination and duplex scanning with ankle-brachial index measurement at 1, 6, and 12 months. A biplane X-ray was performed at 1 year. The primary end point was the absence of binary restenosis (>50% reobstruction of the CFA). Secondary end points were freedom from target lesion revascularization (TLR) and stent fracture rate. Results: Procedural success was achieved in 96% of cases. At a mean follow-up of 24 months (with 1 patient lost of follow-up), the absence of binary restenosis was 92.5%. At the end of follow-up, 82% of patients continued to show clinical improvement. Freedom from TLR was 97%. Stent fracture rate at 1 year was 9%. Conclusions: PTA of the CFA and its bifurcation is a reliable technique with good midterm functional results. These results justify performing a randomized study comparing surgery and endovascular treatment.
引用
收藏
页码:960 / 967
页数:8
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