Abstract
Objective: Endarterectomy for peripheral arterial disease (PAD) in the common femoral artery (CFA) is a standard treatment and no paper regarding its long-term outcomes has been reported in Japan. The purpose of this study is to investigate the safety and durability of this surgery. Method: Consecutive 38 limbs in 37 patients who underwent endarterectomy in the CFA between April 1998 and December 2013 were enrolled. The primary endpoints were primary and assisted-primary patency, and the secondary endpoints were early complications after surgery, overall survival, and freedom from major amputation rates. Results: Technical success rate was 100% and the operative mortality was zero. There were five minor complications; and one required reoperation for serious bleeding on the day of endarterectomy. The primary and assisted-primary patency rate at 5 years was 97% and 100%, respectively. Overall survival and freedom from major amputation rates at 5 years was 90% and 70%, respectively. Conclusions: The safety and durability of endarterectomy for PAD in the CFA were promised. There is no doubt that this surgery is a standard treatment as a revascularization of this area.
