Common femoral artery atherosclerotic occlusion. Difficult to diagnose but easy to treat.

Common femoral artery atherosclerotic occlusion in the absence of significant aorto-iliac stenosis is unusual. It commonly presents by history and physical examination and noninvasive testing as aorto-iliac disease, and thus the diagnosis is usually made by arteriography. In this article, we describe seven patients with this lesion who underwent revascularization because of ischemia. The six patients who had endarterectomy and patch angioplasty were treated successfully.