TY - JOUR
T1 - The Current Role of Profundaplasty in Complex Arterial Reconstruction
AU - Jacobs, Donald L.
AU - Seabrook, Gary R.
AU - Freischlag, Julie A.
AU - Towne, Jonathan B.
N1 - Copyright:
Copyright 2016 Elsevier B.V., All rights reserved.
PY - 1995/11
Y1 - 1995/11
N2 - By use of direct surgical procedures, including endarterectomy and patch angioplasty, the reconstructed profunda femoris artery has been employed to treat symptoms of claudication from femoral-popliteal occlusive disease and to facilitate healing of ampu tations that spare the knee joint. As the techniques of distal arterial bypass have become more sophisticated with improved long-term patency, the role of profun daplasty has changed. Sixty-eight reconstructions of the profunda femoris artery were reviewed for 51 patients with limb-threatening ischemia (69%), claudication (28%), or infected pros thetic vascular grafts (3%). Thirty-three (49%) of the limbs had undergone 73 prior arterial reconstructions. Forty-nine patients had inflow procedures performed at the time of the profundaplasty, and 13 had concomitant reconstruction of arterial outflow. In only 6 cases was the procedure an isolated profundaplasty. Successful profun daplasty was defined as primary patency of the vascular reconstruction. By life table analysis, revascularizations utilizing profundaplasty had a primary patency of 81% at one year, 64% at two years, and 54% at four years. The series achieved a limb salvage rate of 96% at four years. Isolated profundaplasty is seldom utilized to treat critical ischemia of the lower extremity. The current role of profundaplasty places the procedure as an important adjunct to achieve long-term limb salvage and patency of complex vascular reconstructions.
AB - By use of direct surgical procedures, including endarterectomy and patch angioplasty, the reconstructed profunda femoris artery has been employed to treat symptoms of claudication from femoral-popliteal occlusive disease and to facilitate healing of ampu tations that spare the knee joint. As the techniques of distal arterial bypass have become more sophisticated with improved long-term patency, the role of profun daplasty has changed. Sixty-eight reconstructions of the profunda femoris artery were reviewed for 51 patients with limb-threatening ischemia (69%), claudication (28%), or infected pros thetic vascular grafts (3%). Thirty-three (49%) of the limbs had undergone 73 prior arterial reconstructions. Forty-nine patients had inflow procedures performed at the time of the profundaplasty, and 13 had concomitant reconstruction of arterial outflow. In only 6 cases was the procedure an isolated profundaplasty. Successful profun daplasty was defined as primary patency of the vascular reconstruction. By life table analysis, revascularizations utilizing profundaplasty had a primary patency of 81% at one year, 64% at two years, and 54% at four years. The series achieved a limb salvage rate of 96% at four years. Isolated profundaplasty is seldom utilized to treat critical ischemia of the lower extremity. The current role of profundaplasty places the procedure as an important adjunct to achieve long-term limb salvage and patency of complex vascular reconstructions.
UR - http://www.scopus.com/inward/record.url?scp=0028792117&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0028792117&partnerID=8YFLogxK
U2 - 10.1177/153857449502900604
DO - 10.1177/153857449502900604
M3 - Article
AN - SCOPUS:0028792117
SN - 1538-5744
VL - 29
SP - 457
EP - 463
JO - Vascular and endovascular surgery
JF - Vascular and endovascular surgery
IS - 6
ER -