This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (30)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

A Guide to Successful Profundaplasty

Clark H. Boren, MD; Jonathan B. Towne, MD; Victor M. Bernhard, MD; Sergio Salles-Cunha, PhD

Arch Surg. 1980;115(11):1366-1372.

Abstract
• The response to profundaplasty was evaluated in 232 limbs (163 patients) and correlated with segmental pressures and operative flow measurements. Of 150 limbs operated on for rest pain or ischemic necrosis, an inflow procedure (aortofemoral, femorofemoral, etc) combined with profundaplasty was successful in achieving limb salvage in 80 of 96 limbs (83%), but after profundaplasty alone only 26 of 54 limbs (48%) were salvaged. Using segmental pressure measurements, an index of the resistance of the profundapopliteal collateral system (PPCI) was calculated from the segmental pressure decrease across the knee, and demonstrated an inverse correlation with circulatory improvement. When profundaplasty was performed alone, successful limb salvage was associated with a mean PPCI of.18, compared with 46 in the group with unsatisfactory results. The PPCI is an accurate predictor of the hemodynamic potential of the geniculate collaterals and is useful in the selection of patients for profunda repair.

(Arch Surg 115:1366-1372, 1980)

Author Affiliations
From the Department of Surgery, The Medical College of Wisconsin, Milwaukee.

Footnotes
Accepted for publication Aug 11, 1980.

Read before the 28th scientific meeting of the International Cardiovascular Society, Chicago, June 28, 1980.

Reprint requests to Division of Surgery, The Medical College of Wisconsin, 8700 W Wisconsin Ave, Milwaukee, WI 53226 (Dr Towne).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

The Current Role of Profundaplasty in Complex Arterial Reconstruction
Jacobs et al.
VASC ENDOVASCULAR SURG 1995;29:457-463.
ABSTRACT  

The Role of Isolated Profundaplasty for the Treatment of Rest Pain
McCoy et al.
Arch Surg 1989;124:441-444.
ABSTRACT  

Combined Aortofemoral and Extended Deep Femoral Artery Reconstruction: Functional Results and Predictors of Need for Distal Bypass
Sterpetti et al.
Arch Surg 1988;123:1269-1273.
ABSTRACT  

Endarterectomized Superficial Femoral Artery as an Arterial Patch
Rollins et al.
Arch Surg 1985;120:367-369.
ABSTRACT  

Aortofemoral Graft for Multilevel Occlusive Disease: Predictors of Success and Need for Distal Bypass
Brewster et al.
Arch Surg 1982;117:1593-1600.
ABSTRACT  

Progress in the Management of Peripheral Vascular Disease
Blau and Kerstein
VASC ENDOVASCULAR SURG 1982;16:172-184.
ABSTRACT