Efficacy and Safety of Endovascular Therapy with Common Femoral Artery Endarterectomy Site Access in Patients with Lower Extremity Artery Disease

Shingo Mochizuki; Taira Kobayashi; Takanobu Okazaki; Kazuki Maeda; Shogo Emura; Katsutoshi Sato; Hitoshi Tachibana; Daisuke Futagami; Toshifumi Hiraoka; Risa Inoue; Tomoyasu Sato; Shinya Takahashi

doi:10.3400/avd.oa.25-00121

Original Article

Efficacy and Safety of Endovascular Therapy with Common Femoral Artery Endarterectomy Site Access in Patients with Lower Extremity Artery Disease

Shingo Mochizuki , Taira Kobayashi, Takanobu Okazaki, Kazuki Maeda, Shogo Emura, Katsutoshi Sato, Hitoshi Tachibana, Daisuke Futagami, Toshifumi Hiraoka, Risa Inoue, Tomoyasu Sato, Shinya Takahashi

Author information

Shingo Mochizuki Corresponding author
Department of Cardiovascular Surgery, Akane-Foundation Tsuchiya General Hospital, Hiroshima, Hiroshima, Japan
Taira Kobayashi
Department of Cardiovascular Surgery, JA Hiroshima General Hospital, Hatsukaichi, Hiroshima, Japan
Takanobu Okazaki
Department of Cardiovascular Surgery, JA Hiroshima General Hospital, Hatsukaichi, Hiroshima, Japan
Kazuki Maeda
Department of Cardiovascular Surgery, Akane-Foundation Tsuchiya General Hospital, Hiroshima, Hiroshima, Japan
Shogo Emura
Department of Cardiovascular Surgery, National Hospital Organization Higashihiroshima Medical Center, Higashihiroshima, Hiroshima, Japan
Katsutoshi Sato
Department of Cardiovascular Surgery, JA Onomichi General Hospital, Onomichi, Hiroshima, Japan
Hitoshi Tachibana
Department of Cardiovascular Surgery, Hiroshima City North Medical Center Asa Citizens Hospital, Hiroshima, Hiroshima, Japan
Daisuke Futagami
Department of Cardiovascular Surgery, Fukuyama Cardiovascular Hospital, Fukuyama, Hiroshima, Japan
Toshifumi Hiraoka
Department of Cardiovascular Surgery, National Hospital Organization Kure Medical Center and Chugoku Cancer Center, Kure, Hiroshima, Japan
Risa Inoue
Center of Home Medical Care, Dozen Hospital, Tokyo, Japan
Tomoyasu Sato
Department of Radiology, Akane-Foundation Tsuchiya General Hospital, Hiroshima, Hiroshima, Japan
Shinya Takahashi
Department of Cardiovascular Surgery, Hiroshima University Hospital, Hiroshima, Hiroshima, Japan

Keywords: common femoral artery, endarterectomy, endovascular therapy, lower extremity artery disease, access site

JOURNAL OPEN ACCESS FULL-TEXT HTML

2026 Volume 19 Issue 1 Article ID: oa.25-00121

DOI https://doi.org/10.3400/avd.oa.25-00121

Details

Abstract

Objectives: The purpose of this study was to evaluate the results of endovascular therapy (EVT) with common femoral artery (CFA) endarterectomy site access for lower extremity artery disease (LEAD).

Methods: Records were reviewed retrospectively for patients who underwent EVT with CFA endarterectomy site access from 2014 to 2023 at 7 hospitals.

Results: A total of 74 EVT procedures with CFA endarterectomy site access were performed in 65 patients with LEAD. The median [interquartile range] interval between CFA endarterectomy and the first EVT access was 435 [237–1153] days. Technical success of EVT was achieved in 72 procedures (97%). Technical success of the puncture was achieved in all 74 procedures (100%). The median [interquartile range] puncture time and hemostasis time were 4 [2–6] and 13 [10–20] min, respectively. Two cases (3%) had access site hematoma, which was cured with conservative treatment.

Conclusions: The CFA after endarterectomy may be a safe and suitable access site for EVT.

Corresponding author

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