SciELO - Scientific Electronic Library Online

 
vol.75 número5Uso de conductos iliofemorales como medida para reducir la morbimortalidad neurológica y vascular en EVAR complejoOptimización de la exploración eco Doppler mediante la manipulación de los controles del equipo (knobology); primera parte índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados

Revista

Articulo

Indicadores

Links relacionados

  • En proceso de indezaciónCitado por Google
  • No hay articulos similaresSimilares en SciELO
  • En proceso de indezaciónSimilares en Google

Compartir


Angiología

versión On-line ISSN 1695-2987versión impresa ISSN 0003-3170

Resumen

NIGRO, Belén  y  FERRARI-AYARRAGARAY, Javier Eduardo. Strategies for the management of steno-occlusive common femoral artery disease. The role of scientific evidence. Angiología [online]. 2023, vol.75, n.5, pp.298-308.  Epub 11-Dic-2023. ISSN 1695-2987.  https://dx.doi.org/10.20960/angiologia.00531.

Isolated atherosclerotic stenosis or occlusion of the common femoral artery (CFA) is rather uncommon. Traditionally, the standard of care of this entity has been the common femoral artery endarterectomy (CFE).

This manuscript provides a general review of all the current therapeutical strategies (open surgery, endovascular and hybrid approaches) used to treat isolated CFA stenoses or occlusions.

An electronic bibliographic search was performed on the Pubmed and Google databases. Advantages and disadvantages of each revascularization technique were analyzed and the outcomes reported. Common femoral endarterectomy (CFE) showed high technical success and excellent patency rates. However, it was associated with significantly local morbidities, longer lengths of stay and higher medical costs compared with endovascular therapies. Minimally invasive therapeutical approaches showed acceptable outcomes with minor local complications but lower patency rates compared to open surgery.

Further randomized comparative studies are needed to assess the true benefit-risk ratio of traditional CFE vs new minimally invasive therapies for CFA disease.

Palabras clave : Common femoral artery; Endarterectomy; Endovascular treatment.

        · resumen en Español     · texto en Español | Inglés     · Español ( pdf ) | Inglés ( pdf )