Occlusive disease of the common femoral artery can result in functionally debilitating short-distance claudication. When exercise therapy alongside optimal medical management fails to improve symptoms, revascularization can be considered for functional improvement. While surgical endarterectomy is the gold standard for revascularization due to the critical anatomical structures in this region, endovascular techniques are being described for use in physiologically high-risk patients for open surgery. Groin infection remains a significant concern after endarterectomy. The presence of significant inflow disease or calcific iliac vessels may require hybrid techniques for revascularization such as pre-arteriotomy guidewire access.

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Revascularization: Common Femoral and Profunda Femoris Arteries—Evidence, Techniques, and Patient Selection

  • Momodou L. Jammeh,
  • Peter Rossi

摘要

Occlusive disease of the common femoral artery can result in functionally debilitating short-distance claudication. When exercise therapy alongside optimal medical management fails to improve symptoms, revascularization can be considered for functional improvement. While surgical endarterectomy is the gold standard for revascularization due to the critical anatomical structures in this region, endovascular techniques are being described for use in physiologically high-risk patients for open surgery. Groin infection remains a significant concern after endarterectomy. The presence of significant inflow disease or calcific iliac vessels may require hybrid techniques for revascularization such as pre-arteriotomy guidewire access.