Profundoplasty – a solution for distal revascularizations
| Abstract Title: | Profundoplasty – a solution for distal revascularizations |
| Authors: | Totolici Bogdan, Alexa Mircea, Ciurdariu Daniel |
| Affiliation: | Emergency Clinical County Hospital, Arad, Romania “Vasile GOldis” Western University Arad, Romania |
| Abstract text: | Commonly, profound femoral artery (PFA) is the main blood supplier for thigh. In cases when the superficial femoral artery and popliteal artery are severely affected or occlusive, PFA is the main collateral channel from the common iliac artery and femoral artery to the distal end PFA value for ischemic leg viability was established and emphasized since 1961, proved to be an effective alternative to distal bypass (which is more laborious). Profundoplasty can be used as an isolated technique or associated with other revascularization procedures. Profundoplasty’s indications vary depending on its use as isolated or adjunctive procedure. An adjunctive procedure is performed in all cases of ischemia, including critical limb ischemia. It’s essential to restore outflow when the superficial femoral is occlusive. Profundoplasty’s success is assured by the existence of a significant injury of the PFA and abundant collateral towards popliteal artery and tibial branches. Even patients with critical ischemia benefit from profundoplasty when other revascularization options are unsuitable (saphena vein absent, the clinical condition does not allow an extended process). We practiced this technique since 2001, with the establishment of vascular surgery department. During 2001-2009 we conducted a total of 143 profundoplasties, on a group with a mean age of 58 years (range 47 to 82 years), with a male/female ratio of 3/1. From the total number of profundoplasties, only 10 were isolated, the rest being done adjunctive to bypass. Profundoplasty remains a valuable technique with optimum results for rescuing ischemic limb. Profundoplasty has the advantage of technical facility over bypass surgery. May benefit from revascularization even in patients with serious pathology associated (cancer, severe heart failure, severe respiratory disorders etc.). |
| Keywords: | profundoplasty, ischemia, limb, bypass, revascularization |
| Presentation type: | Oral |
| Correspondence: | no. 1-3 Spitalului Sq., Arad, Romania |
| Email: | danielciurdariu@yahoo.com |
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