title: Long-Term Outcomes of Common Femoral Artery Stenting.
abstract: BACKGROUND
  The purpose of this study was to report the 5-year outcome relative to endovascular repair of the common femoral artery (CFA) for occlusive disease.
  
  
  METHODS
  Thirty-six consecutive patients (40 limbs) underwent stenting for CFA lesions. Patients were followed up systematically within a prospectively maintained database over 5 years. Follow-up included clinical examination, duplex scan, and biplane X-ray at 1, 6, 12 months and yearly thereafter.
  
  
  RESULTS
  Indications for endovascular repair of the CFA included 25 patients (70%) for claudication and 11 patients (30%) for critical limb ischemia. Mean follow-up was 64 months. Two patients were lost to follow-up. The mortality rate at 5 years was 38%. At 3 and 5 years, primary sustained clinical improvements were 77% and 73%, respectively. In-stent restenosis rate was 28%. The significant predictors of in-stent restenosis were deep femoral artery stenting (P = 0.0007) and type III lesions (P = 0.014). Freedom from target lesion revascularization and target extremity revascularization were 79% and 73%, respectively. One stent fracture was noted at the first year follow-up without clinical consequence, and no other stent fracture was noted during the remainder of the study.
  
  
  CONCLUSIONS
  Endovascular repair of the CFA and its bifurcation seems to provide sustained clinical and morphological long-term results. Fear of stent fracture and local complications due to hip mobility are no longer relevant.
authors.affiliation: CHU de Brest, Service de Chirurgie cardiaque thoracique et Vasculaire, Brest, France.
authors.forename: Bahaa
authors.initials: B
authors.lastname: Nasr
authors.affiliation: CHU de Rennes, Service de Chirurgie cardiaque thoracique et Vasculaire, Rennes, France.
authors.forename: Adrien
authors.initials: A
authors.lastname: Kaladji
authors.affiliation: CHU Nantes, l'Institut du Thorax, Service de Chirurgie Vasculaire, Nantes, France.
authors.forename: Pierre-Alexandre
authors.initials: PA
authors.lastname: Vent
authors.affiliation: CHU Nantes, l'Institut du Thorax, Service de Chirurgie Vasculaire, Nantes, France.
authors.forename: Philippe
authors.initials: P
authors.lastname: Chaillou
authors.affiliation: CHU Nantes, l'Institut du Thorax, Service de Chirurgie Vasculaire, Nantes, France.
authors.forename: Alain
authors.initials: A
authors.lastname: Costargent
authors.affiliation: Université de Nantes, Nantes, France; INSERM, U957, Nantes, France.
authors.forename: Thibault
authors.initials: T
authors.lastname: Quillard
authors.affiliation: CHU Nantes, l'Institut du Thorax, Service de Chirurgie Vasculaire, Nantes, France; Université de Nantes, Nantes, France; INSERM, U957, Nantes, France. Electronic address: yann.goueffic@chu-nantes.fr.
authors.forename: Yann
authors.initials: Y
authors.lastname: Gouëffic
mesh_terms: D000368:Aged; D001175:Arthrography; D003251:Constriction, Pathologic; D057510:Endovascular Procedures / Q000009:adverse effects / Q000295:instrumentation* / Q000401:mortality; D005260:Female; D005263:Femoral Artery / Q000000981:diagnostic imaging / Q000503:physiopathology; D006621:Hip Joint / Q000000981:diagnostic imaging; D006801:Humans; D053208:Kaplan-Meier Estimate; D008297:Male; D008875:Middle Aged; D058729:Peripheral Arterial Disease / Q000000981:diagnostic imaging / Q000401:mortality / Q000503:physiopathology / Q000628:therapy*; D010865:Pilot Projects; D011446:Prospective Studies; D011475:Prosthesis Failure; D012008:Recurrence; D012042:Registries; D019233:Retreatment; D012307:Risk Factors; D015607:Stents; D013997:Time Factors; D016896:Treatment Outcome; D018616:Ultrasonography, Doppler, Duplex; D014654:Vascular Patency