Common Femoral Disease Without Surgery? Two High-Risk Cases and Modern Endovascular Strategy with Dr. Sayfo and Dr. Mouawad

Redo groins, radiation injury, prior infection, and failed bypasses make common femoral artery disease some of the most difficult decisions in vascular care.In this case-based discussion, Dr. Nick Mouawad and Dr. Sameh Sayfo walk through two challenging common femoral artery cases where traditional open surgery carried high risk.Topics covered include:• Managing CFA bifurcation disease after prior radiation and surgical complications• Why the profunda femoris artery must always be protected• Radial-to-peripheral access to avoid hostile groins• Intravascular imaging to guide vessel sizing and therapy• When to use IVL, atherectomy, serration balloons, and DCB• Avoiding stents in the common femoral whenever possible• Multidisciplinary decision-making for durable outcomesA practical, honest discussion focused on patient selection, technique, and long-term durability in modern peripheral intervention.🔔 Subscribe for more insights from interventional experts and real-world program builders.📱 Download the app: https://apps.apple.com/app/apple-store/id1586692687📺 Follow us on YouTube: https://www.youtube.com/channel/UCfrLYhAhliQ2ZvXinkDCZvAChapters: 00:00 – Case setup and goals of discussion00:45 – Prior pelvic radiation and failed CFA surgery02:05 – Risks of redo open CFA endarterectomy03:10 – Why the profunda femoris must be protected04:20 – Radial access strategy to avoid hostile groins05:05 – IVUS-guided sizing and IVL preparation06:00 – Serration balloons and DCB for CFA disease07:15 – Avoiding stents in the common femoral artery07:55 – Second case: prior fem-fem bypass and claudication09:10 – Crossing strategy and imaging uncertainty10:05 – Orbital atherectomy near bypass anastomosis11:45 – IVUS, gradients, and confirming success12:45 – Durability vs redo surgery discussion14:00 – Multidisciplinary collaboration and MurmurMD#CommonFemoralArtery #PeripheralArteryDisease #IVL #IVUS #Endovascular #VascularSurgery #RedoGroin #RadialToPeripheral #MurmurMD #MultidisciplinaryCare