[Thrombendarterectomy in pelvic artery sections: an wrongly neglected therapeutic procedure?!]

Surgical repair was applied to the aortofemoral region in 491 cases, between 1975 and 1984, including 48.5 per cent of in situ approaches. The ratio were 2.2:1 for aortofemoral thrombendarteriectomy and 4:1 in relation to revascularised extremities. Surgical lethality, postoperative complications, and amputations following aortofemoral thrombendarteriectomy did not differ with significance from conditions in the wake of bypass procedures. Long-time functional results were good to satisfactory in 90.3 per cent of all cases and thus compared well with results obtained from bypass procedures which were of comparable quality in 89.1 per cent. Aortofemoral thrombendarteriectomy, today, is found to be a method which had certainly suffered unwarranted neglect in the past.