Long-term Results of Common Femoral Artery Stenting

Management of common femoral artery occlusive disease: A review of endovascular treatment strategies and outcomes

“…Indeed, these findings suggest that the CFA, perhaps similar to the iliac arteries as opposed to the SFA, is more of an elastic artery, rendering it more amenable to stent placement . While the short‐term results of primary stenting are encouraging and competitive with those of CFE, more studies are needed to evaluate long‐term outcomes and patency, as they appear to perform well below the level of CFE, as reported by Nasr et al …”

“…Oneyear primary patency rates were from 80% to 87%, and at the 2-year follow-up, one study found the primary patency rate to be 83%. 21,22 Thiney et al 23 reported a single center study, 2-year primary patency rate of 92.5%, and Nasr et al 24 1-year primary patency of 88.6% in these subjects. These results suggest that stenting may produce favorable patency results that are better than PTA alone.…”

“…15 Indeed, these findings suggest that the CFA, perhaps similar to the iliac arteries as opposed to the SFA, is more of an elastic artery, rendering it more amenable to stent placement. 27 While the short-term results of primary stenting are encouraging and competitive with those of CFE, more studies are needed to evaluate long-term outcomes and patency, as they appear to perform well below the level of CFE, as reported by Nasr et al 24 Despite the CFA anatomic location and concern for hip flexion, various studies have found minimal stent fractures at a rate less than 3% using nitinol self-eluting stents (SES). [21][22][23][24][25] Only one study by Thiney et al, of 53 CFA interventions on 48 patients, found a total of four (7.5%) stent fractures seen in the 2-year follow-up period.…”

“…27 While the short-term results of primary stenting are encouraging and competitive with those of CFE, more studies are needed to evaluate long-term outcomes and patency, as they appear to perform well below the level of CFE, as reported by Nasr et al 24 Despite the CFA anatomic location and concern for hip flexion, various studies have found minimal stent fractures at a rate less than 3% using nitinol self-eluting stents (SES). [21][22][23][24][25] Only one study by Thiney et al, of 53 CFA interventions on 48 patients, found a total of four (7.5%) stent fractures seen in the 2-year follow-up period. 23 Two nitinol stents on two TASC B lesions had type III (complete transverse without displacement) and type IV (complete transverse with displacement) stent fractures, and a nitinol and self-expanding stent on two TASC B CFA lesions had type II (incomplete transverse) stent fractures.…”

“…One‐year primary patency rates were from 80% to 87%, and at the 2‐year follow‐up, one study found the primary patency rate to be 83% . Thiney et al reported a single center study, 2‐year primary patency rate of 92.5%, and Nasr et al described the 5‐year primary patency to be 72.5%. Paris et al demonstrated a primary patency rate of 92.3% at 1‐year in 26 CFA lesions treated with PTA, which all required provisional stenting.…”