2022 Volume 31 Issue 5 Pages 299-302
The mainstay of revascularization for femoropopliteal artery disease is shifting from open surgery (OS) to endovascular treatment (EVT). However, the long-term results of EVT are still unsatisfactory for long and complex lesions, lesions involving common femoral artery, and lesions with severe calcification. Therefore, the clinical usefulness of OS, which provides better long-term results compare to EVT, is unquestionable. It is important to have a full understanding of guidelines and evidences for EVT and OS, and to select OS appropriately based on the anatomical characteristics and surgical risks of each patient.