1985
DOI: 10.1067/mva.1985.avs0020585
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Isolated profundaplasty for limb salvage

Abstract: Fifty-four patients underwent 56 profundaplasties for limb salvage. All had stenosis greater than 50% in diameter of the deep femoral artery and associated superficial femoral artery occlusive disease. After profundaplasty, ischemic ulcers healed in 9 of 17 (53%) patients. Rest pain was relieved in 6 of 19 (32%) and areas of ischemic necrosis healed in 7 of 20 (35%). Cumulative patency of the deep femoral artery was 49% at 3 years but fell to 21% at 5 years, whereas cumulative limb salvage was 49% and 36%, res… Show more

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Cited by 8 publications
(11 citation statements)
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“…Rollins et al and Savolainen et al report the two largest case series in the English literature. 4,14 Rollins et al reported the results of 51 isolated surgical profundaplasties performed for limb salvage secondary to CLI (Fontaine 3 and 4); 10% of the limbs required an amputation within 30 days of the index procedure. 14 However, this series predates the widespread use of saphenous vein bypass for arterial occlusive disease.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Rollins et al and Savolainen et al report the two largest case series in the English literature. 4,14 Rollins et al reported the results of 51 isolated surgical profundaplasties performed for limb salvage secondary to CLI (Fontaine 3 and 4); 10% of the limbs required an amputation within 30 days of the index procedure. 14 However, this series predates the widespread use of saphenous vein bypass for arterial occlusive disease.…”
Section: Discussionmentioning
confidence: 99%
“…4,14 Rollins et al reported the results of 51 isolated surgical profundaplasties performed for limb salvage secondary to CLI (Fontaine 3 and 4); 10% of the limbs required an amputation within 30 days of the index procedure. 14 However, this series predates the widespread use of saphenous vein bypass for arterial occlusive disease. Savolainen et al reported comparable results from a contemporary series, with 15% of the limbs requiring amputation following surgical profundaplasty for CLI.…”
Section: Discussionmentioning
confidence: 99%
“…According to some authors, the chances for healing after below-knee amputations are higher in primary amputations than after failed revascularization (3,15); however, according to other authors, these chances are equal (16). An increase in lower extremity blood flow in the deep femoral artery and collateral popliteal network is one of the methods that could augment stump healing and salvage of the function of the knee joint (8,9,10). Isolated profundaplasty was previously considered as almost an alternative method of revascularization in lower extremities in cases of occluded femoro-popliteal segment.…”
Section: Discussionmentioning
confidence: 99%
“…Only approximately 55% of these stumps heal within the first 100 days, and the rate of conversion to above-knee amputation is 9-25% (2, 4-7). The reports published some 30 years ago had recommended profundaplasty (PF) as a procedure that allowed preservation of the knee joint in some of the patients (8,9,10). The issue of reconstruction of the flow through the collateral network of the knee in the situation of inevitable amputation was neglected.…”
mentioning
confidence: 99%
“…In some patients who present with only minor ulceration of the toes, the performance of an endarterectomy extending into a patent, largecaliber deep femoral artery will suffice to achieve healing, despite coexistent superficial femoral artery and popliteal occlusions. This procedure is different from the 'profundoplasty' in wide use in the 1960s, 1970s and 1980s in that the disobliteration involves the iliacafemoral segment more than the profunda [18]. Moreover, calcification is much more dominant.…”
Section: Iliacafemoral Reconstructionmentioning
confidence: 94%