Effectiveness of ischemic limb revascularization through superficial or deep femoral artery in patients with critical ischemia undergoing hybrid interventions

Sukovatykh B.S.; Nazarenko P.M.; Bolomatov N.V.; Sukovatykh M.B.; Gordov M.Yu.; Grigoryan A.Yu.; Alekseev A.V.

doi:https://doi.org/10.17116/hirurgia202503148

Sukovatykh B.S.

Kursk State Medical University

SPIN RSCI: 8778-1530
Scopus AuthorID: 7004581366
ORCID: 0000-0003-2197-8756

Nazarenko P.M.

Kursk State Medical University

ORCID: 0000-0003-1376-3130

Bolomatov N.V.

Kursk City Clinical Hospital of Emergency Care;
Pirogov National Medical Surgical Center

ORCID: 0000-0003-0590-2225

Sukovatykh M.B.

Kursk State Medical University

ORCID: 0000-0003-1907-4395

Gordov M.Yu.

Kursk City Clinical Hospital of Emergency Care

ORCID: 0000-0001-9618-1923

Grigoryan A.Yu.

Kursk State Medical University

ORCID: 0000-0002-5039-5384

Alekseev A.V.

Kursk City Clinical Hospital of Emergency Care

ORCID: 0009-0000-1481-7087

Effectiveness of ischemic limb revascularization through superficial or deep femoral artery in patients with critical ischemia undergoing hybrid interventions

Authors:

Sukovatykh B.S., Nazarenko P.M., Bolomatov N.V., Sukovatykh M.B., Gordov M.Yu., Grigoryan A.Yu., Alekseev A.V.

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Journal: Pirogov Russian Journal of Surgery. 2025;(3): 48‑54

DOI: 10.17116/hirurgia202503148

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To cite this article:

Sukovatykh BS, Nazarenko PM, Bolomatov NV, Sukovatykh MB, Gordov MYu, Grigoryan AYu, Alekseev AV. Effectiveness of ischemic limb revascularization through superficial or deep femoral artery in patients with critical ischemia undergoing hybrid interventions. Pirogov Russian Journal of Surgery. 2025;(3):48‑54. (In Russ.)
https://doi.org/10.17116/hirurgia202503148

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)

Использование инфографики авторами научных работ

OBJECTIVE

To compare the results of ischemic limb revascularization through superficial and deep femoral arteries in hybrid treatment of critical limb ischemia.

MATERIAL AND METHODS

Treatment outcomes were analyzed in 60 patients with lesions of infrainguinal arteries TASC grade IIC and IID who underwent hybrid treatment (balloon angioplasty with iliac stenting and open femoral artery reconstruction). Two equal groups of patients were identified depending on postoperative blood flow: group 1 — blood flow through superficial femoral artery, group 2 — blood flow through deep femoral artery. Treatment outcomes were assessed regarding postoperative morbidity and clinical status after 6 and 12 months (Rutherford scale).

RESULTS

Postoperative complications occurred in 6 (10%) patients equally in both groups. In one case (pulsatile hematoma), they were associated with endovascular procedure, in 5 cases (bleeding, lymphorrhea and wound infection) — with surgical intervention. After 6 months, circulation improved in both groups (more significant in the first group). After 12 months, 16.7% of patients in group 1 experienced negative dynamics due to repeated occlusion of superficial femoral artery. Deep femoral artery remained patent in group 2.

CONCLUSION

Recovery of circulation through deep femoral artery is more effective than superficial femoral artery.

Keywords:

critical reduction of arterial inflow

hybrid treatment

iliac artery stenting

reconstruction of femoral arteries

blood flow pathway through femoral arteries

Authors:

Sukovatykh B.S.

Kursk State Medical University

SPIN RSCI: 8778-1530
Scopus AuthorID: 7004581366
ORCID: 0000-0003-2197-8756

Nazarenko P.M.

Kursk State Medical University

ORCID: 0000-0003-1376-3130

Bolomatov N.V.

Kursk City Clinical Hospital of Emergency Care;
Pirogov National Medical Surgical Center

ORCID: 0000-0003-0590-2225

Sukovatykh M.B.

Kursk State Medical University

ORCID: 0000-0003-1907-4395

Gordov M.Yu.

Kursk City Clinical Hospital of Emergency Care

ORCID: 0000-0001-9618-1923

Grigoryan A.Yu.

Kursk State Medical University

ORCID: 0000-0002-5039-5384

Alekseev A.V.

Kursk City Clinical Hospital of Emergency Care

ORCID: 0009-0000-1481-7087

Received:

21.05.2024

Accepted:

02.08.2024

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References:

Oganisyan SA, Saaya ShB, Fattuloeva ShSh, Gostev AA, Cheban AV, Rabtsun AA, Bagurov SV, Osipova OS, Ignatenko PV, Starodubtsev VB, Mitrofanov VO, Karpenko AA. Short- and medium-term results of open and endovascular treatment of lesions of the iliac segment (TASC II C and TASC II D) in a randomized clinical trial. Angiologiya i sosudistaya khirurgiya. 2023;29(1):79-89. (In Russ.). https://doi.org/10.33029/1027-6661-2023-29-1-79-89
Norgren L, Hiatt WR, Dormandy JA, Nehler MR, Harris KA, Fowkes FG. TASC II Working Group. Inter-Society Consensus for the Management of Peripheral Arterial Disease (TASC II). Journal of Vascular Surgery. 2007;45(S):S5-67. https://doi.org/10.1016/j.jvs.2006.12.037
Zavatta M, Mell MW. A national Vascular Quality Initiative database comparison of hybrid and open repair for aortoiliac-femoral occlusive disease. Journal of Vascular Surgery. 2018;67(1):199-205. https://doi.org/10.1016/j.jvs.2017.06.098
Indes JE, Pfaff MJ, Farrokhyar F, Brown H, Hashim P, Cheung K, Sosa JA. Clinical outcomes of 5358 patients undergoing direct open bypass or endovascular treatment for aortoiliac occlusive disease: a systematic review and meta-analysis. Journal of Endovascular Therapy. 2013;20(4):443-55. https://doi.org/10.1583/13-4242.1
Deloose K, Martins I, Neves C, Callaert J. Endovascular treatment for the common femoral artery: is there a challenger to open surgery? Journal of Cardiovascular Surgery. 2019;60(1):8-13. https://doi.org/10.23736/S0021-9509.18.10787-7
Osipova OS, Cheban AV, Gostev AA, Ignatekko PV, Karpenko AA. Two-year results of stenting and hybrid operations for multilevel lesions of the iliac and superficial femoral arteries. Angiologiya i sosudistaya khirurgiya. 2024;30(1):62-72. (In Russ.). https://doi.org/10.33029/1027-6661-2024-30-1-62-72
Gavrilenko AV, Kravchenko AA, Kotov AE, Kirichenko VV. Hybrid reconstructions in patients with chronic lower limb ischemia. Angiologiya i sosudistaya khirurgiya. 2018;24(3):183-187. (In Russ.).
Svetlikov AV, Gamzatov TH, Kebryakov AV, Tishkov AV, Margariants NB, Hardikov IE, Galkin PA, Shapovalov AS, Lukin SV, Melnikov VM, Khubulava GG, Kashchenko VA, Ratnikov VA, Gurevich VS. Surgical Tactics Of Treatment Of Chronic Ischemia In Patients With Atherosclerotic Lesion Of The Deep Femoral Artery And Occlusion Of The Superficial Femoral Artery. Angiologiya i sosudistaya khirurgiya. 2023;29(2):61-72. (In Russ.). https://doi.org/10.33029/1027-6661-2023-29-2-61-72
Natsional’nye rekomendatsii po diagnostike i lecheniyu zabolevanij arterij nizhnikh konechnostej. Bokeria LA, Pokrovsky AV, eds. M.: Natsional’nyj nauchno-prakticheskij tsentr serdechno-sosudistoj khirurgii imeni A.N. Bakuleva; 2019. (In Russ.).
Pokrovsky AV. Rossijskij konsensus. Diagnostika i lechenie patsientov s kriticheskoj ishemiej nizhnikh konechnostej. M.: Shwarz Pharma; 2002. (In Russ.).
Bokeria LA, Arakelyan VS, Papitashvili VG, Tzurtzumia SSh. Comparative results of isolated profundoplasty and distal bypass surgery in patients with diabetes mellitus and trophic ulcers. Kubanskij nauchnyj meditsinskij vestnik. 2020;27(2):38-48. (In Russ.). https://doi.org/10.25207/1608-6228-2020-27-2-38-48
Fataliev GB, Arakelyan VS, Shubin AA. The choice of the volume of hybrid intervention in lesions of the arteries of the ilio-femoral segment. Pirogov Russian Journal of Surgery. 2024;(3):21-28. (In Russ.). https://doi.org/10.17116/hirurgia202403121