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Long-Term Outcomes following Common Femoral Endarterectomy
Takuya Hashimoto1, Satoshi Yamamoto2, Masaru Kimura1
1Department of Vascular Surgery, Saitama Medical Center, Saitama Medical University, Kawagoe 350-0844, Japan.
Journal of Clinical Medicine
|November 26, 2022
Summary
Femoral endarterectomy (FEA) demonstrates durable outcomes for common femoral artery occlusive disease. This vascular surgery procedure shows strong long-term survival and limb salvage rates for intermittent claudication and chronic limb-threatening ischemia.
Area of Science:
- Vascular Surgery
- Endovascular Therapy
- Arterial Occlusive Disease
Background:
- Thromboendarterectomy of the common femoral artery (CFA) is a gold standard for occlusive disease.
- Evidence on its long-term outcomes is needed to compare with emerging endovascular techniques.
Purpose of the Study:
- To report 10-year results of femoral endarterectomy (FEA) for CFA occlusive disease.
Main Methods:
- Retrospective review of 80 patients (91 limbs) undergoing FEA for CFA lesions.
- Analysis of indications (intermittent claudication, chronic limb-threatening ischemia), adjunctive procedures (endovascular therapy, patch angioplasty), and outcomes.
Main Results:
- 3-year survival: 85%, 8-year: 77%. Limb salvage: 92% (3yr), 87% (8yr). Primary patency: 98% (3yr), 84% (8yr). Freedom from revascularization: 95% (3yr), 91% (8yr).
- Comparable long-term results for intermittent claudication and chronic limb-threatening ischemia patients.
Conclusions:
- Femoral endarterectomy is a durable solution for common femoral occlusive disease.
- Supports hybrid revascularization strategies combining open and endovascular approaches, particularly for chronic limb-threatening ischemia.
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