title: Angioplasty of the common femoral artery and its bifurcation.
abstract: BACKGROUND
  To evaluate the efficacy of percutaneous transluminal angioplasty (PTA) of atherosclerotic lesions of the common femoral artery (CFA) and its bifurcation.
  
  
  METHODS
  From 2009 to 2013, 53 patients (43 men, average age, 68 years) were included in a single-center, nonrandomized, prospective study. Indication was disabling intermittent claudication (n = 36) or chronic critical limb ischemia (n = 17). Thirty-four procedures (64%) were isolated CFA PTA, whereas 7 of 53 (13%) involved inflow (including 4 iliac occlusions) and 12 of 53 (23%) involved outflow vessels. Primary stenting was performed in 50 cases (95%). CFA occlusions were recanalized in 4 of 53. Lesions involved the bifurcation in 22 cases (40%). Follow-up consisted of clinical examination and duplex scanning with ankle-brachial index measurement at 1, 6, and 12 months. A biplane X-ray was performed at 1 year. The primary end point was the absence of binary restenosis (>50% reobstruction of the CFA). Secondary end points were freedom from target lesion revascularization (TLR) and stent fracture rate.
  
  
  RESULTS
  Procedural success was achieved in 96% of cases. At a mean follow-up of 24 months (with 1 patient lost of follow-up), the absence of binary restenosis was 92.5%. At the end of follow-up, 82% of patients continued to show clinical improvement. Freedom from TLR was 97%. Stent fracture rate at 1 year was 9%.
  
  
  CONCLUSIONS
  PTA of the CFA and its bifurcation is a reliable technique with good midterm functional results. These results justify performing a randomized study comparing surgery and endovascular treatment.
authors.affiliation: Service de Chirurgie Vasculaire, Groupement Hospitalier Edouard Herriot, CHU, Lyon, France.
authors.forename: Pierre-Olivier
authors.initials: PO
authors.lastname: Thiney
authors.affiliation: Service de Chirurgie Vasculaire, Groupement Hospitalier Edouard Herriot, CHU, Lyon, France; Faculté de Médecine Lyon 1, Université Claude Bernard Lyon 1, Lyon, France.
authors.forename: Antoine
authors.initials: A
authors.lastname: Millon
authors.affiliation: Service de Chirurgie Vasculaire, Groupement Hospitalier Edouard Herriot, CHU, Lyon, France.
authors.forename: Tarek
authors.initials: T
authors.lastname: Boudjelit
authors.affiliation: Service de Chirurgie Vasculaire, Groupement Hospitalier Edouard Herriot, CHU, Lyon, France.
authors.forename: Nellie
authors.initials: N
authors.lastname: Della Schiava
authors.affiliation: Service de Chirurgie Vasculaire, Groupement Hospitalier Edouard Herriot, CHU, Lyon, France.
authors.forename: Patrick
authors.initials: P
authors.lastname: Feugier
authors.affiliation: Service de Chirurgie Vasculaire, Groupement Hospitalier Edouard Herriot, CHU, Lyon, France; Faculté de Médecine Lyon 1, Université Claude Bernard Lyon 1, Lyon, France. Electronic address: patrick.lermusiaux@chu-lyon.fr.
authors.forename: Patrick
authors.initials: P
authors.lastname: Lermusiaux
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000800:Angioplasty, Balloon / Q000009:adverse effects / Q000295:instrumentation; D002908:Chronic Disease; D016638:Critical Illness; D018572:Disease-Free Survival; D005260:Female; D005263:Femoral Artery / Q000000981:diagnostic imaging / Q000503:physiopathology; D005602:France; D006801:Humans; D007383:Intermittent Claudication / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D007511:Ischemia / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D053208:Kaplan-Meier Estimate; D008297:Male; D008875:Middle Aged; D058729:Peripheral Arterial Disease / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D011446:Prospective Studies; D011475:Prosthesis Failure; D011859:Radiography; D012008:Recurrence; D012039:Regional Blood Flow; D012307:Risk Factors; D015607:Stents; D013997:Time Factors; D016896:Treatment Outcome; D018616:Ultrasonography, Doppler, Duplex