1028_Ducasse.pdf

1、11-13 December 2025Carrousel du Louvre,Paris#PVI25ENDOVASCULAR intervention Vs SURGICAL Endarterectomy for commonFemoral disease:GREAT DEBATEE Ducasse,X Brard,C CaraduUnit of vascular&endovascular surgeryStatement of financial interest2I currently have,or have had over the last two years,an affiliat

2、ion or financial interests or interests of any order with a company or I receive compensation or fees or research grants with a commercial company:Speakers name:Pr Eric DucasseI currently have no conflict of interest for this presentationDEBATE Y Goueffic is(supposed to be)good friend In all conditi

3、ons3RECOMMENDATIONS4RECOMMENDATIONS OPEN SURGERY IS For most of lesions Recommended(not under consideration)Long term efficiency Strong recommendation(class Ic)5OPEN FIRST!CONSIDERATIONS/ANATOMY Why the CFA/bifurcation is special(anatomic&biomechanical)?CFA is a high-stress flexion/hinge zone at the

4、 groin mobile and exposed to torsion/compression and external compression.Bifurcation:preserving profunda flow is critical to limb salvage.Consequence:permanent metal across this hinge risks fracture,in-stent restenosis or jailed branches.6CONSIDERATIONS/TECCO STUDY IN 2017 Designed for per/perioper

5、ativecomplications Not blinded In 2025 recommendations7OPEN STILL FIRST OPTION!CONSIDERATIONS/LITERATURE8IN 2025 OPEN REMAINS THE FIRST OPTION CONSIDERATIONS/LITERATURE9OPEN STILL FIRST OPTION!by Y Goueffic!CONSIDERATIONS/CLINICAL CASE Woman 81 YO SFA thrombosis and CFA bifurcation disease under LA1

6、0CONSIDERATIONS/CLINICAL CASE11CONSIDERATIONS12IN 2025 OPEN REMAINS THE FIRST OPTION ENDO CFA by Y GOUEFFICENDO CFA in most casesCONSIDERATION/PERSPECTIVES Personnal practice:endo surgery:debulking13CONSIDERATIONS/PERSPECTIVES14CONCLUSION I