The current role of profundaplasty in complex arterial reconstruction

D. L. Jacobs, G. R. Seabrook, J. A. Freischlag, J. B. Towne

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

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 amputations that spare the knee joint. As the techniques of distal arterial bypass have become more sophisticated with improved long-term patency, the role of profundaplasty has changed. Sixty- eight reconstructions of the profunda femoris artery were reviewed for 51 patients with limb-threatening ischemia (69%), claudication (28%), or infected prosthetic 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 profundaplasty 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.

Original languageEnglish (US)
Pages (from-to)457-463
Number of pages7
JournalVascular Surgery
Volume29
Issue number6
StatePublished - 1995
Externally publishedYes

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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    Jacobs, D. L., Seabrook, G. R., Freischlag, J. A., & Towne, J. B. (1995). The current role of profundaplasty in complex arterial reconstruction. Vascular Surgery, 29(6), 457-463.