title: Eversion endarterectomy of the proximal superficial femoral artery: a source of inflow for distal bypass in case of hostile groin.
abstract: BACKGROUND
  In selected patients, eversion endarterectomy of the proximal superficial femoral artery can represent a valid inflow for a distal bypass to avoid a "hostile" groin.
  
  
  METHODS
  Patency rates and limb salvage rates were retrospectively analysed for 21 consecutive patients who underwent distal bypass for severe lower limb ischemia and in whom the proximal superficial femoral artery was reopened with an eversion endarterectomy. In all patients, this technique was used to avoid a hostile groin.
  
  
  RESULTS
  Five-year cumulative patency rates were 53% for femoropopliteal bypasses and 40% for femorotibial bypasses. Overall 5-y cumulative limb salvage was 72%.
  
  
  CONCLUSIONS
  In case of hostile groin, eversion endarterectomy of the proximal superficial femoral artery is a valid solution to provide inflow for a distal bypass.
authors.affiliation: IsitutoI Clinica Chirurgica, Pietro Valdoni, Università di Roma La Sapienza, Roma, Italia. antonio.sterpetti@uniroma1.it
authors.forename: Antonio
authors.initials: A
authors.lastname: Cavallaro
authors.forename: Antonio V
authors.initials: AV
authors.lastname: Sterpetti
authors.forename: Luca
authors.initials: L
authors.lastname: Dimarzo
mesh_terms: D004691:Endarterectomy / Q000379:methods*; D005263:Femoral Artery / Q000601:surgery*; D006119:Groin / Q000098:blood supply*; D006801:Humans; D007511:Ischemia / Q000601:surgery*; D007866:Leg / Q000098:blood supply; D023821:Limb Salvage / Q000379:methods*; D011183:Postoperative Complications / Q000517:prevention & control*; D012189:Retrospective Studies; D016896:Treatment Outcome; D014654:Vascular Patency