Management of Flush Superficial Femoral Artery Occlusions With Combined Open Femoral Endarterectomy and Endovascular Femoral-Popliteal Angioplasty and Stent-Grafting

Combined femoral endarterectomy and endovascular femoral-popliteal stent-grafting provides a viable option for revascularization of flush SFA occlusions with only a minimal groin incision. The technique described in this article allows for a larger number of patients with flush SFA occlusions to be treated primarily with endovascular techniques and helps avoid a traditional common femoral to above-the-knee popliteal prosthetic bypass.