Common femoral artery stent for occlusive disease: midterm results

Ahn, Sam S.; Harrell, James E.; Feldtman, Robert W.; Kollmeyer, Kenneth R.; Kliner, Cameron E.; Ferrara, Craig A.; Uceda, Pablo V.

doi:10.1016/j.jamcollsurg.2015.08.409

Cited by 2 publications

(9 citation statements)

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“…Cumulatively, wound haematoma occurred in 24 of 269 procedures (5·5 (95 per cent c.i. 0·2 to 17·2) per cent; 4 studies), similar to 35 of 1154 in the endarterectomy group (3·9 (1·7 to 6·9) per cent; 7 studies). No wound infection or lymph leak was reported in the endovascular group.…”

Section: Resultsmentioning

confidence: 78%

“…One RCT and six case series reported data on wound complications after endovascular intervention, with no complications observed in the RCT. Cumulatively, wound haematoma occurred in 24 of 269 procedures (5·5 (95 per cent c.i.…”

Section: Resultsmentioning

confidence: 99%

“…Two 6,7 were RCTs comparing endovascular CFA stenting and CFE, one 3,18 was a national registry of CFE, and 28 were case series, of which ten 8 -10,19-28 reported endovascular CFA treatment and 18 29 -46 reported CFE. Three studies 8,33,44 were published as conference abstracts, and one 31 was published in French. These 31 studies reported a total of 4531 patients (endovascular, 770; endarterectomy, 3761).…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Longer-term mortality results are less reliable, as fewer studies had longer-term follow-up ( Table 3). One RCT 6 and six case series 8,9,19,20,22,23 reported data on wound complications after endovascular intervention, with no complications observed in the RCT. Cumulatively, wound haematoma occurred in 24 of 269 procedures (5⋅5 (95 per cent c.i.…”

Section: Safetymentioning

confidence: 99%

“…Two reviews previously concluded that endovascular interventions to CFA can be performed safely with a high rate of technical success. Since then, two RCTs and two case series on endovascular CFA treatment have been published. This systematic review aimed to assess the safety and efficacy of both endovascular CFA treatment and CFE.…”

Section: Introductionmentioning

confidence: 99%

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Systematic review of endovascular intervention and surgery for common femoral artery atherosclerotic disease

Jia

Sun

Patel

et al. 2019

Journal of British Surgery

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Background Endovascular intervention has emerged as a potential alternative to open surgery in treating common femoral artery (CFA) atherosclerotic disease. The aim of this systematic review was to assess the safety and efficacy of both techniques. Methods Thirteen electronic databases from 1980 to 3 January 2018 were searched. Study quality was assessed using the National Institute for Health and Care Excellence Interventional Procedure Programme quality assessment tool. Safety and efficacy outcome measures were analysed. Results Thirty‐one studies reporting 813 endovascular procedures and 3835 endarterectomies were included. Only two small RCTs have been reported. The methodological quality of available studies was generally low and follow‐up short. Safety endpoint assessment revealed a similar risk of wound haematoma for endovascular intervention and endarterectomy (5·5 (95 per cent c.i. 0·2 to 17·2) versus 3·9 (1·7 to 6·9) per cent respectively), a lower risk of wound infection with endovascular procedures (0 versus 5·9 (3·4 to 9·0) per cent) and a lower risk of wound lymph leakage (0 versus 5·7 (3·3 to 8·6) per cent). Efficacy endpoint assessment at 1 year identified that endovascular intervention had a lower primary patency rate than endarterectomy (78·8 (73·3 to 83·8) versus 96·0 (92·2 to 98·6) per cent respectively), a higher revascularization rate (16·0 (6·1 to 29·4) versus 5·8 (1·0 to 14·2) per cent) and a similar amputation rate (2·7 (1·2 to 4·8) versus 1·9 (0·7 to 3·8) per cent). Conclusion Endovascular intervention of CFA disease appears to reduce the risk of wound complications but is associated with a lower patency rate and increased rates of subsequent revascularization procedures. Standardization of the endovascular technique and quantification of the proportions of patients suitable for either technique are required.

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Section: Resultsmentioning

confidence: 78%

Section: Resultsmentioning

confidence: 99%