{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T04:01:54Z","timestamp":1754020914272,"version":"3.40.5"},"reference-count":20,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2021,11,14]],"date-time":"2021-11-14T00:00:00Z","timestamp":1636848000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Endarterectomy is considered the gold standard therapy for common femoral artery (CFA) steno\u2010occlusive lesions, but a significant risk of perioperative mortality and complications has been reported.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>Aim of this study is to evaluate the efficacy at a long\u2010term follow\u2010up of patients with CFA steno\u2010occlusive lesions treated with directional atherectomy and drug coated balloon (DCB).<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and methods<\/jats:title><jats:p>In this single\u2010center registry, 78 patients (male: 80.7%; age: 71\u2009\u00b1\u200915\u2009years; occlusions: 25%) with 80 CFA lesions were included, with 39.7% of them undergoing directional atherectomy and drug coated balloon due to critical limb ischemia and 60.3% due to lower\u2010limb intermittent claudication. The long\u2010term follow\u2010up was completed by 75 patients (3\u2009years).<\/jats:p><jats:p>The 31 patients with critical ischemia (39.7%) were further subdivided into 20 (25.6%) patients with pain at rest and 11 (14.1%) with trophic changes, ulcers and\/or tissue loss.<\/jats:p><jats:p>We considered the primary and the secondary outcome, referring, respectively to peak systolic velocity ratio (PSVR) \u2265 2.4 on duplex or &gt; 50% stenosis on digital subtraction angiography at 36\u2009months and to clinically driven target lesion revascularization at 36\u2009months.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The primary and secondary outcome was obtained in 84% and 86.7% of patients, at 36\u2009months of follow up. Bailout stenting was necessary in 6\/80 cases (7.5%) for suboptimal result. Freedom from MALE was obtained in 98.6% of patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>These results confirm that directional atherectomy and drug coated balloon strategy for the treatment of CFA lesions is effective at a long\u2010term follow\u2010up and could be considered as a good alternative to surgery.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.30020","type":"journal-article","created":{"date-parts":[[2021,11,15]],"date-time":"2021-11-15T07:36:46Z","timestamp":1636961806000},"page":"1310-1316","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Three\u2010year outcome of directional atherectomy and drug coated balloon for the treatment of common femoral artery steno\u2010occlusive 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