AI Article Synopsis
- - The common femoral artery (CFA) is frequently affected by peripheral artery disease, and common femoral endarterectomy has been the go-to treatment due to its anatomical complexities.
- - Complications from this surgery can include infections, hematomas, bleeding, and nerve damage, which are becoming more prevalent with an aging population and rising obesity and diabetes rates.
- - There's an increasing trend toward endovascular techniques for treating CFA issues, which are safer and allow for local anesthesia, leading to lower risk; the review highlights gaps in current evidence and future directions for treatment.
Article Abstract
The common femoral artery (CFA) is the most common site affected by peripheral artery disease. Due its various anatomical and morphological features, common femoral endarterectomy has long since been the preferred treatment option. However, there are complications associated with common femoral endarterectomy including, but not limited to, surgical site infections, hematoma formation, bleeding, and nerve injury. Unfortunately, this has been further complicated by the ageing population and increasing epidemic of obesity and diabetes mellitus. Within vascular surgery, there has been a rise in use of endovascular techniques for peripheral artery disease. Endovascular repair of the CFA is safe and feasible. One clear advantage is that they can be performed under local or regional anesthesia, thus reducing morbidity. This narrative review seeks to describe the current gap in the evidence and future perspectives in the management of common femoral artery occlusive disease.
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| http://dx.doi.org/10.23736/S0021-9509.24.13107-2 | DOI Listing |
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