Abstract
Surgical treatment is considered the gold standard for the management of complex lesions in FSA and is currently in competition with the improvement of new endovascular techniques. The aim of this work is to compare the two revascularization techniques in terms of efficacy, morbidity and mortality, which is based on a retrospective study of 50 cases of long FSA occlusions treated either by surgical treatment or by endovascular, at the vascular surgery department of Avicenna military hospital in Marrakech during the period between January 2014 to December 2016. The mean age of our patients was higher in the endovascular treatment group compared to the surgical treatment group, (68.5 years versus 62.3) respectively, we noted a male predominance in both groups. Critical lower extremity ischaemia was the most common reason for consultation in both groups: 76.7% in the endovascular treatment group and 80% in the surgical treatment group. All the patients had received the necessary explorations to assess the lesion as well as the extension of the atherosclerotic disease. The technique was successful in 100% of cases, without any major postoperative complications or death, the average length of hospital stay was lower in the endovascular treatment group: one day compared to 4 days in the surgical treatment group. The primary and secondary patency at 12 months were similar in the two groups (73.3% versus 75%) and (83.3% versus 85%) respectively. Thanks to the improvement of endovascular techniques, the management of long occlusions of the superficial femoral artery therefore appears to be an attractive alternative to surgical treatment, more particularly for patients with high surgical risk and presenting numerous comorbidities.
Highlights
Arteriopathy obliterans of the lower limb is defined by the narrowing of the caliber of the arteries that supply the lower limbs, the main etiology of which is linked to atherosclerosis, the severity is closely related to the involvement of other territories
The endovascular group had a higher prevalence of atherosclerotic comorbidities compared to the surgical treatment group (Table 2)
Studies have shown that endovascular treatment gives encouraging short-term results mainly for TASC C lesions, with morbidity and mortality and shorter hospital stays compared to surgical treatment [4, 8,9,10,11]
Summary
Arteriopathy obliterans of the lower limb is defined by the narrowing of the caliber of the arteries that supply the lower limbs, the main etiology of which is linked to atherosclerosis, the severity is closely related to the involvement of other territories. Femoro-popliteal bypass surgery is considered the gold standard [1]. In recent years, the revascularization strategy has been disrupted by the results of endovascular treatment, the emergence of new techniques and dedicated equipment have made it possible to obtain results equivalent to those of bypass grafts [2]. The objective of this work is to compare the two techniques in terms of efficacy, morbidity and mortality
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
