Clinical Outcomes of Percutaneous Versus Surgical Fogarty Thrombectomy in Lower Extremity Acute Limb Ischemia

作者：Yosuke Hata, Yuji Nishimoto, Akihiko Miyata, Naoki Takahashi, Haruya Yamane, Masashi Fukunaga, Kazuki Tobita, Keisuke Shoji, Yohei Kobayashi, Mitsuyoshi Takahara, Osamu Iida, Masanao Toma, Toshiaki Mano · 发表于：Journal of Endovascular Therapy · 年份：2025 · DOI：10.1177/15266028251388757 · 被引用次数：2 · 研究领域：Peripheral Artery Disease Management、Acute Ischemic Stroke Management、Venous Thromboembolism Diagnosis and Management

PURPOSE: Percutaneous Fogarty thrombectomy is a novel and potentially less invasive alternative to surgical thrombectomy for the treatment of patients with acute limb ischemia (ALI). This study aimed to evaluate the effectiveness of percutaneous thrombectomy versus conventional surgical thrombectomy with respect to amputation-free survival (AFS) and periprocedural complications in patients with ALI. METHODS: We conducted a multicenter, retrospective, observational study enrolling 148 patients with ALI who underwent percutaneous or surgical thrombectomy (percutaneous group, 44 patients; surgical group, 104 patients) between January 2014 and October 2023. The primary outcome measure was the 12-month AFS rate, and the secondary outcome measure was periprocedural complications. Propensity score matching analysis was applied to minimize baseline differences and to compare outcomes between the groups. RESULTS: After propensity score matching, 30 and 60 patients were allocated to the percutaneous and surgical groups, respectively. The 12-month AFS was not significantly different between the groups (percutaneous group: 73.6% vs. surgical group: 53.3%, log-rank p=0.16). The incidence of major access-site bleeding, vessel perforation, wound infection, and delayed wound healing was not significantly different between the 2 groups (all p>0.05). CONCLUSIONS: The current study revealed that AFS rate and perioperative complications were not significantly different between patients with ALI ...