Resumo

NIGRO, Belén  e  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-Dez-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.

Palavras-chave : Common femoral artery; Endarterectomy; Endovascular treatment.

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