Semi-closed Femoropopliteal Thromboendarterectomy:a Prospective Study

Objective:to study the primary patency rates of angioscopically controlled thromboendarterectomies of the superficial femoral artery.Design:prospective open study.Methods:between 1990 and 1995, femoropopliteal thromboendarterectomies were performed in 63 patients (41 male, 22 female). Postoperative...

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Bibliographic Details
Published in:European journal of vascular and endovascular surgery 1999-07, Vol.18 (1), p.43-47
Main Authors: Heider, P., Hofmann, M., Maurer, P.C., von Sommoggy, S.
Format: Article
Language:English
Subjects:
Aged
Arterial occlusive disease
Arterial Occlusive Diseases - surgery
Chronic Disease
Endarterectomy - methods
Female
Femoral Artery - surgery
Femoropopliteal occlusion
Follow-Up Studies
Humans
Intermittent Claudication - surgery
Ischemia - surgery
Leg - blood supply
Male
Popliteal Artery - surgery
Postoperative Complications
Prospective Studies
Thromboendarterectomy
Treatment Outcome
Vascular Patency
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Summary:Objective:to study the primary patency rates of angioscopically controlled thromboendarterectomies of the superficial femoral artery.Design:prospective open study.Methods:between 1990 and 1995, femoropopliteal thromboendarterectomies were performed in 63 patients (41 male, 22 female). Postoperative follow up was performed at 3- to 6-month intervals using non-invasive pressure measurements plus IVDSA at 1 year.Results:eight patients were not evaluable, leaving 55 patients eligible for follow-up analysis. Postoperative complications (arteriovenous fistulas, false aneurysms) were observed in 5.4% of patients. Immediate perioperative occlusions occurred in 7.3%, early occlusions in 21.8% and late occlusions in 16.4% of all cases. The mean follow-up was approximately 57 months. The mean primary patency rate at 5 years was 44.5% (28 patients with the superficial femoral artery still open). Six patients died during the follow-up period.Conclusions:in contrast to the very positive reports found in recent literature, this prospective study shows a lower five-year patency rate for semi-closed femoropopliteal thromboendarterectomy than for bypass grafting. Thromboendarterectomy cannot be considered as a standard procedure in revascularisation of the femoropopliteal region.
ISSN:1078-5884
1532-2165
DOI:10.1053/ejvs.1999.0853