Endarterectomía femoral y angioplastia endovascular simultánea

Abstract

Introduction Endovascular treatment combined with endarterectomy (EA) of the common femoral artery (CFA) is a good alternative to aorto-iliac and/or femoropopliteal surgery. The objective of this study is to analyse our experience in the hybrid treatment of EA in the CFA and simultaneous endovascular angioplasty. Material and methods A retrospective analysis was performed on patients with atherosclerotic disease of the CFA treated by means of EA with a patch and simultaneous endovascular iliac and/or femoropopliteal treatment between 2004 and 2010. Results A total of 50 patients were treated, of whom 44 (88%) were males, and with a mean age 69.4 ± 9.41 years. Critical ischaemia was present in 25 (50%) of cases. Femoral EA and iliac angioplasty was performed in Group 1: 36 (72%) of cases, and Group 2 with femoral EA and femoropopliteal angioplasty in Group 2: 14 (28%). The technical success was 94%, with no perioperative mortality. The mean hospital stay was 10.7 ± 8.28 days. The median follow-up time was 24.18 months (IQR 9.6-34.4). The primary patency at 12, 24 and 36 months was 91%, 83% and 74%, respectively. Within these same time periods the assisted primary patency rates were 94%, 86% and 81%; limb salvage was 92%, 92% and 88% and a survival of 92%, 86% and 82%, respectively. The primary patency was higher in Group 1 (log-rank test, P=.044). Conclusions Femoral EA with simultaneous endovascular angioplasty shows satisfactory results with a low morbidity and mortality and is a good alternative to classic surgery.