ArticleJournal of vascular surgery cases and innovative techniques2026
Postoperative groin wound complications after common femoral artery exposure are associated with increased long-term systemic and limb adverse outcomes in a national propensity-matched analysis.
Article in Journal of vascular surgery cases and innovative techniques, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Advancing surgical techniques with ligasure for common femoral artery exposure.Journal of vascular surgery cases and innovative techniques · 2026Article
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Authors and funding
6 authors.
Funding
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Abstract
Objectives: Common femoral artery (CFA) exposure is a critical step in many vascular procedures. Although local postoperative complications are well described, their association with long-term high-acuity sequelae remains incompletely characterized. This study aimed to evaluate the relationship between hematoma, seroma, surgical site infection, and wound necrosis/dehiscence, and the subsequent development of acute respiratory failure, acute kidney injury (AKI), stroke (cerebrovascular accident), ST-elevation myocardial infarction, limb loss, and mortality. Methods: A retrospective cohort study was conducted using the TriNetX database, identifying patients who underwent CFA exposure. Patients were stratified based on occurrence of hematoma, seroma, surgical site infection, or necrosis/dehiscence within 6 months, and whether they underwent surgical correction of the complication within 3 months. The 1- and 5-year incidences of high-acuity sequelae were analyzed. Propensity score matching controlled for demographics and comorbidities, including hypertension, diabetes, ischemic heart disease, end-stage renal disease, and tobacco use. Relative risk ratios (RRs) with 95% confidence intervals were calculated. Results: Among 129,774 patients, wound necrosis/dehiscence was the most prevalent complication and strongest predictor of long-term adverse outcomes. Complication rates generally peaked within the first postoperative month. Any postoperative complication significantly increased the 1-year incidence of limb loss (RR, 4.43; Conclusions: Postoperative groin wound complications after CFA exposure are independently associated with increased long-term systemic and limb adverse outcomes, particularly limb loss and AKI. Wound necrosis/dehiscence demonstrated the strongest association across outcomes. These findings suggest that groin complications represent clinically meaningful markers of downstream risk and identify a critical early postoperative window for intensified surveillance and preventive intervention.
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