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Endarterectomized Superficial Femoral Artery as an Arterial Patch
David L. Rollins, MD;
Jonathan B. Towne, MD;
Victor M. Bernhard, MD;
Patricia L. Baum, BSN
Arch Surg. 1985;120(3):367-369.
Abstract
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• Eighty-six patients underwent 90 profundaplasties for lower extremity ischemia using endarterectomized superficial femoral artery (ESFA) or vein as an arterial patch. Standard length profundaplasty was performed in 60 limbs and extended profundaplasty in 28. Seventy-two were performed for limb salvage and 18 for severe claudication. Fifty-four limbs underwent inflow reconstruction and profundaplasty, while 36 others had profundaplasty alone. Three-year cumulative patency rates were employed to compare the type of autogenous patch material to the profundaplasty length, operative indications, and procedures. In all groups, ESFA performed as well as vein. Endarterectomized superficial femoral artery patch angioplasty provides comparable long-term results to vein patch in patients undergoing profundaplasty, and demonstrates its durability as a vascular patch in situations where autogenous tissue is required or preferred while preserving the saphenous vein for later use.
(Arch Surg 1985;120:367-369)
Author Affiliations
From the Department of Surgery, Medical College of Wisconsin, Milwaukee. Dr Rollins is presently with the Department of Surgery, University of Health Sciences, The Chicago Medical School, North Chicago.
Footnotes
Accepted for publication Oct 25, 1984.
Read before the Eighth Annual Surgical Symposium of the Association of Veterans Administration Surgeons, Los Angeles, May 10, 1984.
Reprint requests to Department of Surgery, University of Health Sciences, The Chicago Medical School, 3333 Green Bay Rd, North Chicago, IL 60064 (Dr Rollins).
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