Results of common femoral artery thromboendarterectomy evaluation of a traditional surgical management in the endovascular era
Objective The aim of this study was to investigate the long-term outcome of common femoral artery thromboendarterectomy in patients with peripheral arterial occlusive disease. Methods The study retrospectively evaluated 713 vessels in 655 patients (75% male; mean age, 69.4 ± 9.5 years) who underwent...
Saved in:
| Main Authors: | , |
|---|---|
| Format: | Article (Journal) |
| Language: | English |
| Published: |
October 2016
|
| In: |
Journal of vascular surgery
Year: 2016, Volume: 64, Issue: 4, Pages: 995-1001 |
| ISSN: | 1097-6809 |
| DOI: | 10.1016/j.jvs.2016.04.036 |
| Online Access: | Verlag, kostenfrei, Volltext: http://dx.doi.org/10.1016/j.jvs.2016.04.036 Verlag, kostenfrei, Volltext: http://www.jvascsurg.org/article/S0741-5214(16)30176-8/abstract 
|
| Author Notes: | Carola Marie Wieker, Eva Schönefeld, Nani Osada, Christina Lührs, Roland Beneking, Giovanni Torsello, Dittmar Böckler |
MARC
| LEADER | 00000caa a2200000 c 4500 | ||
|---|---|---|---|
| 001 | 1565443063 | ||
| 003 | DE-627 | ||
| 005 | 20240316100305.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 171116s2016 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1016/j.jvs.2016.04.036 |2 doi | |
| 035 | |a (DE-627)1565443063 | ||
| 035 | |a (DE-576)495443069 | ||
| 035 | |a (DE-599)BSZ495443069 | ||
| 035 | |a (OCoLC)1340982200 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rda | ||
| 041 | |a eng | ||
| 084 | |a 33 |2 sdnb | ||
| 100 | 1 | |a Hoffmann-Wieker, Carola Marie |d 1983- |e VerfasserIn |0 (DE-588)1026910099 |0 (DE-627)727579533 |0 (DE-576)372266304 |4 aut | |
| 245 | 1 | 0 | |a Results of common femoral artery thromboendarterectomy evaluation of a traditional surgical management in the endovascular era |c Carola Marie Wieker, Eva Schönefeld, Nani Osada, Christina Lührs, Roland Beneking, Giovanni Torsello, Dittmar Böckler |
| 264 | 1 | |c October 2016 | |
| 300 | |a 7 | ||
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a Computermedien |b c |2 rdamedia | ||
| 338 | |a Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Gesehen am 16.11.2017 | ||
| 520 | |a Objective The aim of this study was to investigate the long-term outcome of common femoral artery thromboendarterectomy in patients with peripheral arterial occlusive disease. Methods The study retrospectively evaluated 713 vessels in 655 patients (75% male; mean age, 69.4 ± 9.5 years) who underwent common femoral thromboendarterectomy from January 2006 until May 2012 in two high-volume vascular centers. Critical limb ischemia was present in 221 patients, and intermittent claudication was present in 434. Three patent tibial arteries, described as runoff vessels, were available in 33% of the cohort, two were present in 28.3%, one runoff vessel was present in 23.4%, and 15.2% (n = 102) showed no runoff option. Hybrid procedures were used to treat 255 limbs (35.8%). The primary end point was primary patency (PP). Secondary patency (SP), limb salvage, and survival were the secondary end points. Results Survival rates were 93.9%, 83.0%, 74.1%, and 60.1% at 1, 3, 5, and 7 years, respectively. PP was 78.5% and SP was 89.1% at 7 years. Patency rates were 97.3% (PP) and 97.8% (SP) at 6 months and 90.2% (PP) and 98.3% (SP) at 3 years, respectively, with 76 target lesion revascularizations. No significant difference was demonstrated for PP rates stratified for nonhybrid procedures and hybrid procedures (78.1% vs 78.6%; P = .22) and for critical limb ischemia vs intermittent claudication (76.3% vs 79.4%; P = .20) at 7 years. The mean ± standard deviation ankle-brachial index increased from 0.46 ± 0.3 preoperatively to 0.81 ± 0.2 postoperatively and to 0.77 ± 0.3 at 7 years (P < .001). A total of 20 major amputations were performed, achieving a limb salvage rate of 92.6%. Procedure-related complications occurred in 11.5% during 7 years of follow-up. Conclusions Open surgery for common femoral artery stenosis is safe and effective in the long-term. Endovascular therapy will need to compete with these excellent results. | ||
| 700 | 1 | |a Böckler, Dittmar |d 1966- |e VerfasserIn |0 (DE-588)1032367881 |0 (DE-627)738382868 |0 (DE-576)173503969 |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Journal of vascular surgery |d Amsterdam [u.a.] : Elsevier, 1984 |g 64(2016), 4, Seite 995-1001 |h Online-Ressource |w (DE-627)302720146 |w (DE-600)1492043-8 |w (DE-576)088704807 |x 1097-6809 |7 nnas |a Results of common femoral artery thromboendarterectomy evaluation of a traditional surgical management in the endovascular era |
| 773 | 1 | 8 | |g volume:64 |g year:2016 |g number:4 |g pages:995-1001 |g extent:7 |a Results of common femoral artery thromboendarterectomy evaluation of a traditional surgical management in the endovascular era |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1016/j.jvs.2016.04.036 |x Verlag |x Resolving-System |z kostenfrei |3 Volltext |
| 856 | 4 | 0 | |u http://www.jvascsurg.org/article/S0741-5214(16)30176-8/abstract |x Verlag |z kostenfrei |3 Volltext |
| 951 | |a AR | ||
| 992 | |a 20171116 | ||
| 993 | |a Article | ||
| 994 | |a 2016 | ||
| 998 | |g 1032367881 |a Böckler, Dittmar |m 1032367881:Böckler, Dittmar |d 910000 |d 910200 |e 910000PB1032367881 |e 910200PB1032367881 |k 0/910000/ |k 1/910000/910200/ |p 7 |y j | ||
| 998 | |g 1026910099 |a Hoffmann-Wieker, Carola Marie |m 1026910099:Hoffmann-Wieker, Carola Marie |d 910000 |d 910200 |e 910000PH1026910099 |e 910200PH1026910099 |k 0/910000/ |k 1/910000/910200/ |p 1 |x j | ||
| 999 | |a KXP-PPN1565443063 |e 2987374925 | ||
| BIB | |a Y | ||
| SER | |a journal | ||
| JSO | |a {"title":[{"title_sort":"Results of common femoral artery thromboendarterectomy evaluation of a traditional surgical management in the endovascular era","title":"Results of common femoral artery thromboendarterectomy evaluation of a traditional surgical management in the endovascular era"}],"person":[{"family":"Hoffmann-Wieker","given":"Carola Marie","roleDisplay":"VerfasserIn","display":"Hoffmann-Wieker, Carola Marie","role":"aut"},{"roleDisplay":"VerfasserIn","display":"Böckler, Dittmar","role":"aut","family":"Böckler","given":"Dittmar"}],"recId":"1565443063","language":["eng"],"type":{"media":"Online-Ressource","bibl":"article-journal"},"note":["Gesehen am 16.11.2017"],"id":{"doi":["10.1016/j.jvs.2016.04.036"],"eki":["1565443063"]},"origin":[{"dateIssuedDisp":"October 2016","dateIssuedKey":"2016"}],"name":{"displayForm":["Carola Marie Wieker, Eva Schönefeld, Nani Osada, Christina Lührs, Roland Beneking, Giovanni Torsello, Dittmar Böckler"]},"relHost":[{"note":["Gesehen am 15.01.20"],"disp":"Results of common femoral artery thromboendarterectomy evaluation of a traditional surgical management in the endovascular eraJournal of vascular surgery","type":{"bibl":"periodical","media":"Online-Ressource"},"recId":"302720146","language":["eng"],"pubHistory":["1.1984 -"],"titleAlt":[{"title":"JVS"},{"title":"Vascular surgery"}],"part":{"pages":"995-1001","issue":"4","year":"2016","extent":"7","text":"64(2016), 4, Seite 995-1001","volume":"64"},"title":[{"title_sort":"Journal of vascular surgery","title":"Journal of vascular surgery"}],"physDesc":[{"extent":"Online-Ressource"}],"origin":[{"publisherPlace":"Amsterdam [u.a.] ; St. Louis, Mo.","publisher":"Elsevier ; Mosby","dateIssuedKey":"1984","dateIssuedDisp":"1984-"}],"id":{"eki":["302720146"],"zdb":["1492043-8"],"issn":["1097-6809"]}}],"physDesc":[{"extent":"7 S."}]} | ||
| SRT | |a HOFFMANNWIRESULTSOFC2016 | ||