title: Initial Experience with Percutaneous Angioplasty of the Common Femoral Artery in De Novo Stenotic Lesions.
abstract: BACKGROUND
  The aim of this study was to report an initial experience with percutaneous transluminal angioplasty (PTA) in de novo stenotic lesions of the common femoral artery (CFA).
  
  
  METHODS
  A retrospective analysis for 34 consecutive patients was conducted. The follow-up consisted of clinical evaluation and color duplex ultrasound scan (CDU) 1, 6, and 12 months after the procedure.
  
  
  RESULTS
  The symptoms were claudication in 16 patients (47%), critical limb ischemia in 17 (50%), and preservation of an infrainguinal bypass in 1 (3%). PTA was performed in CFA alone in 45.7%, associated to iliac and/or profunda/superficial femoral artery PTA in 54.3%. Stenting was performed in 23 patients (65.7%). All procedures were successful. Two patients required surgery for a local complication. Median hospital stay was 2 days. Mean follow-up was 11 months (range 1-56). Primary and secondary sustained clinical improvement rates were 77% and 85%, and primary, CDU-controlled patency rate was 88%. Four reinterventions were required for symptomatic CFA restenosis. At the end of follow-up, no major amputation had been performed, all patients with claudication remained improved with no restenosis, and the secondary sustained improvement rate was 85%.
  
  
  CONCLUSIONS
  PTA for primary CFA lesions is feasible and safe, with acceptable short-term results in claudicants. In patients with tissue loss, frequent reinterventions raise questions about PTA benefit. This approach needs to be compared with open surgery in a randomized trial.
authors.affiliation: Department of Vascular Surgery, Henri Mondor Hospital, Créteil, France. Electronic address: romain_deblic@yahoo.fr.
authors.forename: Romain
authors.initials: R
authors.lastname: de Blic
authors.affiliation: Department of Radiology and Medical Imaging, Henri Mondor Hospital, Créteil, France.
authors.forename: Jean-François
authors.initials: JF
authors.lastname: Deux
authors.affiliation: Department of Radiology and Medical Imaging, Henri Mondor Hospital, Créteil, France.
authors.forename: Hicham
authors.initials: H
authors.lastname: Kobeiter
authors.affiliation: Department of Vascular Surgery, Henri Mondor Hospital, Créteil, France.
authors.forename: Pascal
authors.initials: P
authors.lastname: Desgranges
authors.affiliation: Department of Vascular Surgery, Henri Mondor Hospital, Créteil, France.
authors.forename: Jean-Pierre
authors.initials: JP
authors.lastname: Becquemin
authors.affiliation: Department of Vascular Surgery, Henri Mondor Hospital, Créteil, France.
authors.forename: Eric
authors.initials: E
authors.lastname: Allaire
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D017130:Angioplasty; D001157:Arterial Occlusive Diseases / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D003251:Constriction, Pathologic / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D005260:Female; D005263:Femoral Artery; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D015607:Stents; D016896:Treatment Outcome