Experience with Eversion Endarterectomy of the Common Femoral Artery with Comparison to Standard Endarterectomy with Patch

Issa Mirmehdi; Margaret Rigamer; Alexander Nguyen; Robert Larson; Francisco Albuquerque; Mark Levy

doi:10.1016/j.avsg.2019.07.007

Experience with Eversion Endarterectomy of the Common Femoral Artery with Comparison to Standard Endarterectomy with Patch

Ann Vasc Surg. 2020 Feb:63:204-208. doi: 10.1016/j.avsg.2019.07.007. Epub 2019 Sep 16.

Authors

Issa Mirmehdi¹, Margaret Rigamer², Alexander Nguyen², Robert Larson², Francisco Albuquerque², Mark Levy²

Affiliations

¹ Division of Vascular Surgery, Virginia Commonwealth University, Richmond, VA. Electronic address: issaswims@gmail.com.
² Division of Vascular Surgery, Virginia Commonwealth University, Richmond, VA.

PMID: 31536797
DOI: 10.1016/j.avsg.2019.07.007

Abstract

In this retrospective study, we review the outcome of femoral eversion endarterectomy (EE) and standard endarterectomy with patch angioplasty (SEP) over a 10-year period. EE technique involves transection of common femoral artery (CFA), eversion endarterectomy of the distal CFA, and primary end-to-end reconstruction. One hundred forty-two patients underwent femoral endarterectomy, among which 38 (26.8%) endarterectomies were performed using the eversion technique. The cumulative 2-year primary patency of EE with or without a concurrent procedure was greater than 86% and did not statistically differ from SEP. EE is a feasible technique when the use of a patch needs to be avoided.

Publication types

Comparative Study

MeSH terms

Aged
Constriction, Pathologic
Endarterectomy* / adverse effects
Female
Femoral Artery / diagnostic imaging
Femoral Artery / physiopathology
Femoral Artery / surgery*
Humans
Male
Middle Aged
Peripheral Arterial Disease / diagnostic imaging
Peripheral Arterial Disease / physiopathology
Peripheral Arterial Disease / surgery*
Retrospective Studies
Risk Factors
Time Factors
Treatment Outcome
Vascular Patency