Impact of open femoral endarterectomy on treating multilevel iliac and common femoral artery occlusive disease

• DOI: 10.3389/fsurg.2025.1445846
• Publication Date: 2025-01-21T08:38:50Z
• Authors: Suehyun Park; Taewan Ku; Deokbi Hwang; Woo-Sung Yun; Seung Huh; Hyung-Kee Kim
• Keywords: Aortoiliac occlusive disease; Endarterectomy; External iliac artery; Common iliac artery

Purpose This study aimed to evaluate the impact of femoral endarterectomy (FE) on treating multilevel iliac and common artery occlusive disease. Materials methods From January 2013 December 2022, 106 limbs in 103 patients with arterial disease underwent open FE angioplasty (FEIA) or without infrainguinal revascularization. The primary outcome assessment was changes TransAtlantic Inter-Society Consensus (TASC) II classification during operation; secondary outcomes included patency (PP) (SP) FEIA. risk factors for PP loss were evaluated. Results Of patients, 91 male. A total 56 treated chronic limb-threatening ischemia, 61 Preoperatively, aortoiliac (AIOD) classified as TASC C 65 (61%) D 41 limbs. During operation, 19 received additional thrombectomy subacute thrombus components. Overall, reduced AIOD from complex lesions (TASC C/D) simple (B lesser) 101 (95%) Three early mortalities (2.8%, two acute myocardial infarctions one pneumonia) recorded. SP FEIA 89% 96% at 1 year, 80% 94% 3 years, 77% 5 respectively. severity not associated Conclusions Despite challenging nature initially C/D lesions, our findings highlight effectiveness reducing durable achieved Hybrid could be a viable treatment option, particularly featuring severe