Remote endarterectomy in SFA occlusive disease

The authors present a new modified endarterectomy technique for the treatment of artherosclerotic occlusive disease of the superficial femoral artery (SFA). The SFA remote endarterectomy procedure can be performed through a single groin incision using a ring strip cutter and stenting the distal endpoint. Complete disobliteration of lengthy occlusions was accomplished in more than 100 cases with a cumulative 2-year primary and assisted primary patency rate of 71 and 86%. The mean length of the removed intima core was 33 (10-45) cm. The endovascular remote endarterectomy technique is explained and depicted in detail and some important questions and controversies are discussed.