BACKGROUND The objective of this retrospective single-center study was to report the initial and the long-term outcome after stent-assisted angioplasty of occlusive disease at the common femoral artery. MATERIALS AND METHODS Between 1995 and 2015, 94 limbs in 79 consecutive patients (54 men; mean age 70 ± 8.6 years) underwent angioplasty with self-expanding stent implantation in 94 common femoral arteries. Critical limb ischemia was present in 15 limbs (16%); the other patients had claudication. RESULTS Technical success was 99%. Complications occurred in 5/94 interventions (5.3%): puncture site hematomas (2), arteriovenous fistula (1), cholesterol embolism (1), and dissection of the access site artery (1). The intervention was outpatient-based in 98%. Median follow-up was 53 months. Ankle-brachial index (ABI) rose from 0.71 ± 0.17 to 1.0 ± 0.2 (p < .001) immediately after the intervention and was 1.03 ± 0.2 after 1 year and 0.96 ± 0.21 at the last follow-up visit (p < .001 compared to pre-interventional ABI). During follow-up, restenosis was found in 23/94 limbs (25%); 15 limbs were treated by angioplasty, 3 by surgery, and 5 conservatively. One limb was amputated below the knee 6 months after stent-assisted angioplasty (SAA). Death rate during follow-up was 35/79 patients (44%). CONCLUSIONS SAA of the CFA resulted in high immediate success and a low complication rate. Restenosis rate was moderate, and target lesions could easily be retreated by angioplasty. The main hazard was not restenosis, but death during follow-up.

中文翻译：

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股总动脉分叉水平的支架辅助血管成形术（SAA）：长期结果。

背景技术这项回顾性单中心研究的目的是报告支架辅助血管成形术治疗股总动脉闭塞性疾病的初步和长期疗效。材料与方法在1995年至2015年之间，对79例连续患者（54名男性；平均年龄70±8.6岁）中的94条肢体进行了血管成形术，并在94条普通股动脉内进行了自扩张支架植入术。严重肢体缺血有15条肢体（16％）。其他患者had行。结果技术成功率为99％。5/94干预措施（5.3％）中发生并发症：穿刺部位血肿（2），动静脉瘘（1），胆固醇栓塞（1）和切开部位动脉（1）。98％的患者是基于门诊的。中位随访时间为53个月。踝肱指数（ABI）从0.71±0.17升至1.0±0。干预后立即为2（p <.001），一年后为1.03±0.2，最后一次随访时为0.96±0.21（与干预前ABI相比，p <.001）。在随访期间，发现23/94肢体有再狭窄（25％）；血管成形术治疗15条肢体，手术治疗3条，保守治疗5条。支架辅助血管成形术（SAA）术后六个月，将一只肢体截肢至膝盖以下。随访期间死亡率为35/79例患者（44％）。结论CFA的SAA导致立即成功率高，并发症发生率低。再狭窄率适中，血管成形术可以很容易地治愈目标病变。主要危害不是再狭窄，而是随访中的死亡。001与介入前的ABI相比）。在随访期间，发现23/94肢体有再狭窄（25％）；血管成形术治疗15条肢体，手术治疗3条，保守治疗5条。支架辅助血管成形术（SAA）术后六个月，将一只肢体截肢至膝盖以下。随访期间死亡率为35/79例患者（44％）。结论CFA的SAA导致立即成功率高，并发症发生率低。再狭窄率适中，血管成形术可以很容易地治愈目标病变。主要危害不是再狭窄，而是随访中的死亡。001与介入前的ABI相比）。在随访期间，发现23/94肢体有再狭窄（25％）；血管成形术治疗15条肢体，手术治疗3条，保守治疗5条。支架辅助血管成形术（SAA）术后六个月，将一只肢体截肢至膝盖以下。随访期间死亡率为35/79例患者（44％）。结论CFA的SAA导致立即成功率高，并发症发生率低。再狭窄率适中，血管成形术可以很容易地治愈目标病变。主要危害不是再狭窄，而是随访中的死亡。结论CFA的SAA导致立即成功率高，并发症发生率低。再狭窄率适中，血管成形术可以很容易地治愈目标病变。主要危害不是再狭窄，而是随访中的死亡。结论CFA的SAA导致立即成功率高，并发症发生率低。再狭窄率适中，血管成形术可以很容易地治愈目标病变。主要危害不是再狭窄，而是随访中的死亡。