[Effectiveness of ischemic limb revascularization through superficial or deep femoral artery in patients with critical ischemia undergoing hybrid interventions].

Abstract

Objective: To compare the results of ischemic limb revascularization through superficial and deep femoral arteries in hybrid treatment of critical limb ischemia.

Material and methods: Treatment outcomes were analyzed in 60 patients with lesions of infrainguinal arteries TASC grade IIC and IID who underwent hybrid treatment (balloon angioplasty with iliac stenting and open femoral artery reconstruction). Two equal groups of patients were identified depending on postoperative blood flow: group 1 - blood flow through superficial femoral artery, group 2 - blood flow through deep femoral artery. Treatment outcomes were assessed regarding postoperative morbidity and clinical status after 6 and 12 months (Rutherford scale).

Results: Postoperative complications occurred in 6 (10%) patients equally in both groups. In one case (pulsatile hematoma), they were associated with endovascular procedure, in 5 cases (bleeding, lymphorrhea and wound infection) - with surgical intervention. After 6 months, circulation improved in both groups (more significant in the first group). After 12 months, 16.7% of patients in group 1 experienced negative dynamics due to repeated occlusion of superficial femoral artery. Deep femoral artery remained patent in group 2.

Conclusion: Recovery of circulation through deep femoral artery is more effective than superficial femoral artery.