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Atherectomy Followed by Drug-Coated Balloon Angioplasty Versus Surgery for Symptomatic Deep Femoral Artery Arteriosclerotic Disease.
J Endovasc Ther
October 2024
Department of Vascular and Endovascular Surgery, Univ Brest, CHU Brest, UMR 1101 LaTIM, Brest, France.
Purpose: Limited data are available regarding endovascular therapy of arteriosclerotic lesions of the deep femoral artery (DFA). In this study, we compare the outcomes of atherectomy combined with drug-coated balloon (DCB) angioplasty and open repair of DFA lesions.
Methods: This is a multicenter retrospective registry of patients with peripheral artery occlusive disease Rutherford categories 2 to 5 treated by surgical profundaplasty (SP) or atherectomy followed by DCB for DFA lesions (symptomatic DFA).
The natural history of isolated common femoral endarterectomy for chronic limb-threatening ischemia.
J Vasc Surg
November 2024
Department of Surgery, Division of Vascular Surgery, NorthShore University Health System, Evanston, IL. Electronic address:
Objective: Occlusive disease of the common femoral artery can generate profound lower extremity ischemia as the normal collateral pathways from the profunda to the superficial femoral artery cannot adequately develop. In patients with lifestyle-limiting claudication, isolated common femoral endarterectomy (CFE) is highly effective. Because CFE does not provide direct, in-line flow to the plantar arch, it has been felt to provide inadequate revascularization to patients with chronic limb-threatening ischemia (CLTI).
View Article and Find Full Text PDFInfected femoral artery pseudoaneurysm ligation and revascularisation: A case report.
Clin Case Rep
March 2024
Department of Vascular and Endovascular Surgery, Faculty of Medicine Al-Azhar University Assiut Egypt.
Key Clinical Message: Although ligating femoral pseudoaneurysm is a safe procedure, some cases require revascularization, and the appropriate treatment should be tailored to the patient.
Abstract: In this case report, we highlight the challenge in treating infected femoral artery pseudoaneurysm. The patient, a 37-year-old male intravenous drug abuser, presented to the emergency department with a 2-month history of a progressively growing lump over his right groin.
Viability of the rectus femoris muscle flap for groin wound coverage after ligation of proximal inflow.
J Surg Case Rep
January 2024
Division of Plastic and Reconstructive Surgery, Department of Surgery, Reading Hospital, Tower Health System, West Reading, PA, United States.
Lower extremity revascularization via groin incisions can be complicated by wound dehiscence associated with infection, seroma and femoral vessel exposure. This may require additional surgical debridement and coverage of vascular structures and grafts. The pedicled rectus femoris muscle flap (RFF) has both bulk and a large arc of rotation, making it useful for reconstruction.
View Article and Find Full Text PDFGiant isolated profunda femoris artery aneurysm treated with aneurysmal ligation without profunda femoris artery revascularization.
J Vasc Surg Cases Innov Tech
December 2023
Division of Vascular and Endovascular Surgery, SUNY Upstate Medical University, Syracuse, NY.
Isolated nonruptured profunda femoris artery (PFA) aneurysms are exceedingly rare. We present the case of an 80-year-old man who initially presented with a large pulsatile mass in the right groin. Computed tomography angiography identified a giant 6-cm PFA aneurysm.
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