Both options have theoretical advantages. Starting with the endarterectomy, outflow is already restored before starting the recanalisation. However, intraluminal recanalisation might be challenging after an endarterectomy.
Stent-assisted Remote Iliac Artery Endarterectomy: An Alternative Approach to Treating Combined External Iliac and Common Femoral Artery Disease
Supplementary Material: Article
Bovine pericardial patch: A good alternative in femoral angioplasty