1020_Goueffic.pdf

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1、COMMON FEMORAL ARTERY DISEASE:Pro Endo CFAY.Gouffic,MD,PhDDepartment of vascular and endovascular surgery,Groupe Hospitalier Paris Saint Joseph,Paris,France.Y.Gouffic reports:Research funding from Abbott,Bentley,General Electric,Sensome,WL GorePersonal fees and grants from Abbott,BD,Bentley,Biotroni

2、k,Boston Scientific,Cook,General Electric,Medtronic,Penumbra,Shockwave,WL Gore(medical advisory board,educational course,speaking)DisclosuresE.DUCASSE,MD,PhDDepartment of vascular and endovascular surgeryUniversity hospital of Bordeaux,France Bordeaux is better than burgundy winesDISAGREE!Open surge

3、ry for CFA offers higher long-term primary patency rate than endovascular surgery At maximum follow-up,primary patency did not differ between common femoral endarterectomy and endovascular treatment with routine stenting(88%and 83%,respectively)At 1 year no benefit of one technique over the other wa

4、s noted in terms of primary patency(OR=0.49;95%CI 0.29-3.06)Boufi,J Vasc Surg,2021Changal KH,J Interv Cardiol.2019DISAGREE:These data are not available-19 open repair noncomparative studies(2001-2018)-Only 2 of them were prospective-Follow-up was short in many studies-Restenosis/reinterventions rate

5、s were missing in 9 studies.-Paradoxically,the follow-up period seems longer for ER than OS,although OS has been used for almost 50 years.Open surgery for CFA offers higher LONG-TERM primarypatency rate than endovascular surgery Gouffic,J Vasc Surg,2021;Boufi,J Vasc Surg,2021DISAGREE:Open surgery fo

6、r CFA repair is poorly assessed Open surgery for CFA is easy and safe procedure Bao-Ngoc,J Vasc Surg,2015-1843 CFEs,Diabetes:33%;CLI:36%-CFE between 2005-2010 from the ACS-NSQIP database-Perioperative morbimortality outcomes before and after hospital discharge-Morbidiy-mortality rates 15%-Average le