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A single-center experience in the eversion femoral endarterectomy

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dc.contributor.authorSoares, Tony
dc.contributor.authorAmorim, Pedro
dc.contributor.authorManuel, Viviana
dc.contributor.authorLopes, Alice
dc.contributor.authorFernandes E Fernandes, Ruy
dc.contributor.authorMartins, Carlos
dc.contributor.authorPedro, Luís M
dc.date.accessioned2020-11-12T13:24:24Z
dc.date.available2020-11-12T13:24:24Z
dc.date.issued2020
dc.descriptionCopyright © 2020 by SAGE Publicationspt_PT
dc.description.abstractObjectives: Endarterectomy is the treatment of choice for arterial occlusive disease of the femoral bifurcation. Longitudinal arteriotomy and prosthetic patch angioplasty is the standard technique but, due to the increasing concerns with prosthetic-related infections and multidrug-resistant pathogens our group adopted an alternative approach. We present our experience with eversion femoral endarterectomy. Methods: All patients submitted to eversion femoral endarterectomy in a single institution during 2016-2019 were retrospectively analyzed. Patient demographics, surgical data, and complications were captured from medical records. Results: Nineteen patients, 84.2% male and a median age of 67 years (IQR 62-78) were submitted to eversion femoral endarterectomy with a median follow-up of 180 days (IQR 71-395). Seventeen (89.4%) patients were treated for chronic limb ischemia and the other two were submitted to femoral endarterectomy during endovascular aortic aneurysm repair. Most of the patients had smoking history (84.2%), followed by hypertension (68.4%), dyslipidemia (63.2%), coronary heart disease (29.4%), and diabetes (26.3%). Only 3 patients (15.8%) were submitted exclusively to endarterectomy, 13 (68.4%) were submitted to endarterectomy as an adjuvant for peripheral endovascular treatment, 2 (10.5%) as a concomitant procedure to endovascular repair of aortic aneurysm, and 1 (5.3%) was complemented with thrombectomy of the femoro-popliteal sector. Primary patency rates were 100% and 87.5% (CI (38.7-98.1)) at 6 and 12 months, respectively. Primary-assisted and secondary patency rates were 100%. The 30-day mortality rate was 5.3% (n = 1) and complication rate 10.5% (n = 2). One patient complicated with acute renal disease related to rhabdomyolysis. Another patient developed a wound-related hematoma treated with surgical drainage, but died three days after consequent to ischemia-reperfusion injury. Conclusions: Eversion femoral endarterectomy is a safe and feasible technique, with good patency results and respecting the concept of leaving nothing behind. A careful control of the proximal and distal endpoints is essential for the success of the technique.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationVascular. 2020; 28 (4): 348-354pt_PT
dc.identifier.doi10.1177/1708538120905440pt_PT
dc.identifier.eissn1708-539X
dc.identifier.issn1708-5381
dc.identifier.urihttp://hdl.handle.net/10451/44855
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherSAGEpt_PT
dc.relation.publisherversionhttps://journals.sagepub.com/home/vaspt_PT
dc.subjectEndarterectomypt_PT
dc.subjectEversionpt_PT
dc.subjectOcclusive diseasept_PT
dc.subjectPatchpt_PT
dc.subjectProsthetic infectionpt_PT
dc.titleA single-center experience in the eversion femoral endarterectomypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage354pt_PT
oaire.citation.issue4pt_PT
oaire.citation.startPage348pt_PT
oaire.citation.titleVascularpt_PT
oaire.citation.volume28pt_PT
person.familyNameSoares
person.familyNameLopes
person.familyNameFernandes e Fernandes
person.familyNamePedro
person.givenNameTony
person.givenNameAlice
person.givenNameRuy
person.givenNameLuís
person.identifier.ciencia-id8D12-0BD7-11B5
person.identifier.ciencia-idB710-641D-77AD
person.identifier.ciencia-id0B14-1812-24DC
person.identifier.orcid0000-0002-9344-6858
person.identifier.orcid0000-0002-1957-7614
person.identifier.orcid0000-0003-1619-8851
person.identifier.orcid0000-0003-4310-9324
person.identifier.scopus-author-id57203041538
person.identifier.scopus-author-id39761284300
person.identifier.scopus-author-id7004454630
rcaap.rightsrestrictedAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication9b613757-407c-463f-ae2c-b649a3f2b6b2
relation.isAuthorOfPublicationc8a63094-d9cb-41d5-a956-5cc64a89f710
relation.isAuthorOfPublication8b4cff45-1799-4e5c-9d7b-61405e351329
relation.isAuthorOfPublicationff4d548a-318e-4368-b735-e8b82e060dd3
relation.isAuthorOfPublication.latestForDiscovery8b4cff45-1799-4e5c-9d7b-61405e351329

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