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Endovascular interventions safe in common femoral, profunda femoris arteries
New data suggest that endovascular interventions of the common femoral and profunda femoris arteries can be performed safely and with a high degree of technical success.
The pooled analysis featured all published series in the English language identified in a systematic PubMed search.
In all, 20 studies totaling 836 patients (897 limbs) were included in the analysis. The mean age of the patients was 70.5 ± 4.3 years, and the rate of critical limb ischemia was 39.6%.
Results indicated an endovascular intervention technical success rate of 95%.
Researchers performed angioplasty alone in 68.8% of cases and stenting in 22.3%. Access complications were reported in 2.4% of cases, postoperative major adverse limb events in 2% of cases and MACE in 1% of cases.
At 6 months, the rate of primary patency was 87%; at 12 months, it was 77%; and at 24 months, it was 73%.
In subgroup analysis, mean 12-month primary patency was higher for routine stenting vs. a selective stenting strategy (91.4% vs. 75%; P < .05).
The rate of any reintervention on the treated extremity was similar at 1 year between endarterectomy and primary endovascular therapy.
“The reason for this surprising result is likely because the reintervention is most often for
additional inflow or outflow procedures as atherosclerotic disease is rarely limited to just the femoral bifurcation,” the researchers wrote. “Primary endovascular therapy may be a more favorable approach than surgery for a carefully selected subset of patients at higher surgical risk or those with short life expectancies or with wound-healing considerations.” – by Brian Ellis
Disclosure: The researchers report no relevant financial disclosures.