Percutaneous revascularization of the common femoral artery for limb ischemia.
We performed percutaneous transluminal intervention in 20 consecutive patients (21 limbs) with common femoral artery (CFA) lesions causing symptomatic limb ischemia. In 12 limbs, concurrent additional percutaneous intervention proximal or distal to the target CFA lesion was performed. Angiographic success was obtained in 100%, with procedural success (angiographic success without a major in-hospital complications) in 90% and clinical success (procedural success and in-hospital improvement by at least one Fontaine functional class) in 81% of the limbs. The in-hospital Fontaine class improved by at least one functional class in 17 of 19 patients (89%), and the overall in-hospital event-free survival was 90% (18 of 20 patients). At follow-up (11.4 +/- 6 months), the overall event-free survival was 90% (18 of 20 patients) and 17 of 19 patients (89%) continue to show improvement by at least one functional (Fontaine) class. Percutaneous intervention of the CFA can be performed with a rate of high technical success and a low complication rate. It provides excellent clinical results at mid-term follow-up and appears to be a reasonable alternative to surgical therapy in patients at high risk for surgery.
Silva
Jose A
JA
Department of Cardiology, Ochsner Clinic Foundation, New Orleans, Louisiana, USA. jsilva@ochsner.org
White
Christopher J
CJ
Quintana
Hugo
H
Collins
Tyrone J
TJ
Jenkins
J Stephen
JS
Ramee
Stephen R
SR
D000368:Aged; D000800:Angioplasty, Balloon; D001157:Arterial Occlusive Diseases / Q000401:mortality / Q000503:physiopathology / Q000628:therapy; D001794:Blood Pressure / Q000502:physiology; D019917:Blood Vessel Prosthesis Implantation; D018572:Disease-Free Survival; D005121:Extremities / Q000098:blood supply*; D005260:Female; D005263:Femoral Artery / Q000503:physiopathology / Q000601:surgery; D005500:Follow-Up Studies; D017052:Hospital Mortality; D006801:Humans; D007083:Iliac Artery / Q000503:physiopathology / Q000601:surgery; D007511:Ischemia / Q000401:mortality / Q000503:physiopathology / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D011150:Popliteal Artery / Q000503:physiopathology / Q000601:surgery; D012189:Retrospective Studies; D015607:Stents; D016896:Treatment Outcome