Three Cases of Hybrid Treatment Using Viabahn Stentgraft for Superficial Femoral Artery Occlusion with Common Femoral Artery Lesion

Abstract

Viabahn stent graft has been reported with good patency in the long Superficial Femoral Artery (SFA) occlusive lesion. However, this treatment is not adapted for the SFA lesion with continuous concomitant Common Femoral Artery (CFA) lesion, since Viabahn stent graft needs at least 1 cm landing zone at the ostium of SFA. On the other hand, Thrombo-Endarterectomy (TEA) for the CFA lesion is an established treatment. We present three cases of hybrid treatment using Viabahn stent graft for the SFA occlusion with continuous concomitant CFA lesion by performing TEA from the CFA to the ostium of SFA, thus creating landing zone at the ostium of SFA. Case1 was a 70-year-old-man with intermittent claudication, case2 was an 83-year-old-man with intermittent claudication and case3 was a 60-year-old-man with a toe ulcer. The average SFA lesion length was 27.8 cm. After the treatment, their symptoms disappeared and have had a favorable outcome so far. By performing TEA from the CFA to the ostium of SFA, Viabahn stent graft seems to be effective for the long SFA occlusive lesion with continuous concomitant CFA lesion.