چکیده (انگلیسی):

Background and purpose: The most proximal ostial site of the chronic occlusive
superficial femoral artery is not suitable for ballooning or stenting because the deep femoral
artery may be occluded by these procedures. Thus, the feasibility of performing an open
endarterectomy for the occluded ostium of the superficial femoral arteries combined with
an endovascular therapy for the remaining distal site was evaluated.
Methods: Eleven critically ischemic limbs in 10 elderly patients with poor general health were
enrolled. They had full-length occlusion of the superficial femoral artery involving its ostium.
The ostial site was managed with an open endarterectomy followed by endovascular therapy
for the remaining distal site.
Results: All procedures were successfully performed. All patients experienced pain relief, and
the wounds healed. During the follow-up observation period (average: 23.9
14.7 months),
nine patients died. None of the patients, including those who had lost patency of the superfi-
cial femoral artery, received major amputation.
Conclusion: Elderly patients, including those who were in terminal stage, were able to withstand
the operation, and their postoperative quality of life was not compromised. Although
the patency following the surgery was limited, sparing the deep femoral artery could either
prevent or delay the recurrence of critical limb ischemia.