{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T07:28:13Z","timestamp":1793604493348,"version":"4.5.0"},"reference-count":22,"publisher":"Hogrefe Publishing Group","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Vasa"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:p>Summary: Background: To compare atherectomy-assisted endovascular revascularization with balloon angioplasty for the treatment of common femoral artery disease (CFAD). Materials and methods: In a multi-centre retrospective research collaborative, data from consecutive patients who underwent endovascular revascularization of the groin were analysed. Primary endpoints were clinically driven target-lesion-revascularization (CD-TLR) and improvement of clinical symptoms by Rutherford categories (RC). Kaplan-Mayer analyses were used to evaluate these endpoints over time in patients undergoing atherectomy-assisted versus conventional endovascular treatment. In addition, retrospective case-control matching was performed, considering patient and lesion specific characteristics. Lesion calcification was assessed using the PACSS scoring system. Results: Of 225 patients, 179 (79.6%) underwent atherectomy-assisted treatment, whereas 46 (20.4%) underwent balloon angioplasty. Mean age was 72.0 (66.0\u201379.0) yrs, 139 patients (61.8%) had intermittent claudication and 84 (37.3%) had chronic limb-threatening ischemia (CLTI). Involvement of the deep femoral artery femoral was present in 137 (60.9%) cases, whereas lesion calcification was moderate to severe (PACSS 2\u20134) in most cases (88%). Atherectomy had low complication rates (perforation in one (0.6%) patient and distal embolization requiring re-intervention in 2 (0.9%) patients) and lower rates of bail-out stenting compared to angioplasty (5.1% versus 36.7%, p&lt;.0001). No perforation or distal embolization was observed in the angioplasty group. After matching for patient and lesion characteristics CD-TLR (HR=4.0, 95%CI=1.0\u201315.0, p&lt;.05) and RC improvement rates both favoured atherectomy (93.5% versus 73.1%, p&lt;.05). Conclusions: Atherectomy-assisted endovascular revascularization of CFAD seems to be associated with lower stent placement and re-intervention rates compared to balloon angioplasty. Future prospective trials with longer follow-up duration are now warranted.<\/jats:p>","DOI":"10.1024\/0301-1526\/a001259","type":"journal-article","created":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T07:26:28Z","timestamp":1767943588000},"page":"398-407","source":"Crossref","is-referenced-by-count":4,"title":["Atherectomy-assisted treatment or balloon angioplasty for atherosclerotic common femoral artery disease?"],"prefix":"10.1024","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6038-2253","authenticated-orcid":true,"given":"Grigorios","family":"Korosoglou","sequence":"first","affiliation":[{"name":"GRN Hospital Weinheim, Department of Cardiology and Vascular Medicine, Weinheim, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Andrassy","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Angiology, F\u00fcrst Stirum Clinic Bruchsal, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-9725-6484","authenticated-orcid":true,"given":"Marco V.","family":"Usai","sequence":"additional","affiliation":[{"name":"Department of Vascular and Endovascular Surgery, Franziskus Hospital M\u00fcnster, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-0780-7856","authenticated-orcid":true,"given":"Arne","family":"Schwindt","sequence":"additional","affiliation":[{"name":"Department of Vascular and Endovascular Surgery, Franziskus Hospital M\u00fcnster, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raphael","family":"Coscas","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, CHU Ambroise Par\u00e9, Assistance Publique \u2013 H\u00f4pitaux de Paris (AP-HP), France and University Versailles-Saint Quentin, University Paris-Saclay, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bahaa","family":"Nasr","sequence":"additional","affiliation":[{"name":"Department of Vascular and Endovascular Surgery, CHU Brest Hospital, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Konstantinos P.","family":"Donas","sequence":"additional","affiliation":[{"name":"Department of Vascular and Endovascular Surgery, Rhein Main Vascular Center, Asklepios Clinics Langen, Paulinen Wiesbaden, Seligenstadt, Langen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"101","reference":[{"key":"c1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehx095"},{"key":"c2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2015.01.024"},{"key":"c3","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2023.04.016"},{"key":"c4","doi-asserted-by":"publisher","DOI":"10.1177\/1358863X241231943"},{"key":"c5","doi-asserted-by":"publisher","DOI":"10.1177\/15266028231158313"},{"key":"c6","doi-asserted-by":"publisher","DOI":"10.1024\/0301-1526\/a000960"},{"key":"c7","doi-asserted-by":"publisher","DOI":"10.4244\/EIJ-D-19-00693"},{"key":"c8","doi-asserted-by":"publisher","DOI":"10.1177\/15266028241284021"},{"key":"c9","doi-asserted-by":"publisher","DOI":"10.1177\/1358863X251323508"},{"key":"c10","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2017.03.046"},{"key":"c11","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2024.11.038"},{"key":"c12","doi-asserted-by":"publisher","DOI":"10.1024\/0301-1526\/a001066"},{"key":"c13","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2022.11.036"},{"key":"c14","doi-asserted-by":"publisher","DOI":"10.4244\/EIJ-D-21-01070"},{"key":"c15","doi-asserted-by":"publisher","DOI":"10.1177\/1526602815592206"},{"key":"c16","doi-asserted-by":"publisher","DOI":"10.1007\/s00270-021-03011-z"},{"key":"c17","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2019.10.031"},{"key":"c18","doi-asserted-by":"publisher","DOI":"10.1016\/S1078-5884(11)60014-2"},{"key":"c19","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2022.03.010"},{"key":"c20","doi-asserted-by":"publisher","DOI":"10.1186\/s13063-024-08219-1"},{"key":"c21","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2024.07.029"},{"key":"c22","doi-asserted-by":"publisher","DOI":"10.1024\/0301-1526\/a001161"}],"container-title":["Vasa"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/econtent.hogrefe.com\/doi\/pdf\/10.1024\/0301-1526\/a001259","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T07:04:44Z","timestamp":1793603084000},"score":1,"resource":{"primary":{"URL":"https:\/\/econtent.hogrefe.com\/doi\/10.1024\/0301-1526\/a001259"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,11]]},"references-count":22,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,11]]}},"alternative-id":["10.1024\/0301-1526\/a001259"],"URL":"https:\/\/doi.org\/10.1024\/0301-1526\/a001259","relation":{},"ISSN":["0301-1526","1664-2872"],"issn-type":[{"value":"0301-1526","type":"print"},{"value":"1664-2872","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,11]]}}}