Hamad Hisham Abdelrheem Abdelrhman, Abd Allah Reyad, Jararaa Sohaib, Elshikhawoda Mohamed S M, Omer Omer Kamal, Zafar Muhammad Awais, Ibrahim Yara, Okaz Mahmoud, Mohammed Mohammed Jibreel, Barakat Tarig
Surgery, University of Bahri, Khartoum, SDN.
Plastic Surgery, Khartoum North Hospital, Khartoum, SDN.
Cureus. 2024 Nov 30;16(11):e74809. doi: 10.7759/cureus.74809. eCollection 2024 Nov.
This study aims to synthesise recent findings on the outcomes of common femoral endarterectomy (CFE) with profundoplasty, evaluating the efficacy, complications, and predictors of long-term success in patients undergoing this procedure.
This is a descriptive retrospective study assessing the outcomes of CFE with profundoplasty. All patients with chronic limb-threatening ischaemia (CLTI) who attended and underwent CFE with profundoplasty with or without iliac intervention at Glan Clwyd Hospital (Wales, United Kingdom) were studied. We excluded the patients who had the CFE as part of bypass surgery.
In a period of three years, 77 patients were included. Forty-six (59.7%) of them were male, and 31 (40.3%) of them were female. The mean age was 73.3 ± 7.8 years (standard deviation). Regarding the comorbidity, hypertension and smoking were recorded for most of the patients, while the other comorbidities were less frequent. The majority of the patients are presented with rest pain 70.1% (n = 54), while the remainder has both rest pain and tissue loss. Forty patients (51.9%) had CFE as part of the hybrid operation with iliac angioplasty; however, only 37 patients (48.1%) had CFE. The most reported complications postoperatively were groin infection, hospital-acquired pneumonia, and thrombosis, with less reporting for the rest of the complications. The limb salvage rate was 74% (n = 57); moreover, the mean primary patency rate was 10.7 + 8.4 months SD.
The CFE is a feasible operation, either isolated or in conjunction with iliac angioplasty, with a satisfactory patency rate. It can be offered to the high-risk group of patients. However, they are going to need a rigorous follow-up to avoid or minimise postoperative complications.
本研究旨在综合近期有关股总动脉内膜切除术（CFE）联合股深动脉成形术的研究结果，评估接受该手术患者的疗效、并发症及长期成功的预测因素。
这是一项描述性回顾性研究，评估CFE联合股深动脉成形术的结果。对所有在英国威尔士格兰克莱德医院接受CFE联合股深动脉成形术且有或无髂动脉干预的慢性肢体威胁性缺血（CLTI）患者进行了研究。我们排除了作为旁路手术一部分进行CFE的患者。
在三年期间，共纳入77例患者。其中46例（59.7%）为男性，31例（40.3%）为女性。平均年龄为73.3±7.8岁（标准差）。关于合并症，大多数患者记录有高血压和吸烟，而其他合并症较少见。大多数患者表现为静息痛，占70.1%（n = 54），其余患者既有静息痛又有组织缺失。40例（51.9%）患者的CFE是髂动脉血管成形术混合手术的一部分；然而，只有37例（48.1%）患者单独进行了CFE。术后最常报告的并发症是腹股沟感染、医院获得性肺炎和血栓形成，其他并发症报告较少。肢体挽救率为74%（n = 57）；此外，平均初次通畅率为10.7 + 8.4个月（标准差）。
CFE无论是单独进行还是与髂动脉血管成形术联合进行，都是一种可行的手术，通畅率令人满意。它可以提供给高危患者群体。然而，他们需要严格的随访以避免或最小化术后并发症。
