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EVERSION ENDARTERECTOMY: A NEW APPLICATION OF AN OLD TECHNIQUE.

Terry Treadwell1, Ferenc L. Korompai, Ronald H. Hayward

  • 1Scott and White Memorial Hospital, Temple, Texas 76501.

Cardiovascular Diseases
|January 1, 1977
PubMed
Summary

Superficial femoral artery eversion endarterectomy offers a promising solution for limb salvage when traditional bypass grafts fail. This technique achieved 100% arterial patency in patients with severe limb ischemia.

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Area of Science:

  • Vascular Surgery
  • Reconstructive Surgery
  • Peripheral Artery Disease

Background:

  • Restoring arterial flow to ischemic extremities is a significant challenge in vascular surgery.
  • Standard limb salvage often relies on saphenous vein bypass, but graft suitability can be an issue.
  • Alternative methods like synthetic grafts or endarterectomy have limitations.

Purpose of the Study:

  • To evaluate a modified superficial femoral artery eversion endarterectomy technique combined with other reconstructive methods.
  • To improve outcomes for limb salvage in cases of severe limb ischemia or incapacitating claudication.
  • To present results for patients with unsuitable saphenous vein grafts.

Main Methods:

  • A modified superficial femoral artery eversion endarterectomy was performed.

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  • The technique was combined with other reconstructive procedures for limb salvage.
  • Angiographic follow-up was utilized to assess outcomes.

    • Main Results:

    • Six patients with unsuitable saphenous veins underwent superficial femoral eversion endarterectomy.
    • All six patients achieved 100% arterial patency at follow-up.
    • Follow-up ranged from seven months to one year postoperatively.

    Conclusions:

    • Superficial femoral artery eversion endarterectomy is a viable and effective option for limb salvage.
    • This technique can overcome limitations associated with traditional bypass grafts.
    • Excellent patency rates suggest its utility in complex vascular reconstructions.