Short and long-term outcome after common femoral artery hybrid procedure in patients with intermittent claudication and chronic limb threatening ischemia

Summary: Background: This study aimed to evaluate the differences between outcomes of patients with intermittent claudication (IC) and chronic limb threatening ischemia (CLTI) who underwent a hybrid procedure comprising common femoral artery endarterectomy endovascular therapy. Patients methods: was retrospective single-center all peripheral arterial occlusive disease (PAD) March 2007 August 2018. The primary endpoint patency after 7 years. secondary endpoints were primary-assisted patency, salvage, survival. Results: During follow-up period, 427 limbs in 409 treated. A total 267 160 presented clinical signs IC CLTI, respectively. 30-day mortality 1.4% (IC: 0% vs. CLTI: 3.8%, p=0.001). overall major amputation rate 1.6% 4.4, rates years 63% 94%, respectively, group 57% 88%, CLTI group; difference not significant. Limb salvage (94% 82%, p=0.000) survival (58% 29%, significantly higher group. In multivariate analysis, only risk factor for amputation. single vessel run-off factors death. Statin therapy protective factor. Conclusions: provides excellent results as treatment option multilevel lesions PAD. However, had shorter long-term lower rate.