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KMID : 0357019960120010040
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Journal of the Korean Vascular Surgery Society
1996 Volume.12 No. 1 p.40 ~ p.44
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Clinical Review of Profundaplasty in Chronic Occlusive Arterial Disease
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Abstract
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The profunda femoris arterial system is known to be the principal blood supply of the thigh and the primary collateral network in the iliac and superficial femoral occlusive disease. Usually, profundaplasty was performed not only as an adjunct to
inflow
procedure, such as aorto-bifemoral, femoro-femoral, axillo-femoral bypass surgery especially in preexisting occlusion of the superficial femoral artery to ensure long term graft patency, but also as an alternative inflow artery for distal lower
limb
bypass surgery.
We had a retrospective clinical analysis in 48 cases of profundaplasty from January 1991 to November 1995 at Kangnam St. Mary's Hospital with following result.
1) The endarterectomy with deep femoral artery dilatation in 39 cases, roof patch angioplasty in 9 cases were performed.
2) There were 42 male and 6 female patients with their age from 25 to 83 years.
3) The stenosis or occlusion site confirmed by arteriography were in iliac artery, 35 cases(72.9%) and in femoral artery, 13 cases(27.1%).
4) The combineddisease were ischemic heart disease in 22 cases(45.8%), hypertension in 16 cases(33.3%), diabetic mellitus in 8 cases(16.7%).
5) We observed improvement of ischemic pain and patency of blood flow in the most patients.
6) Major amputation were performed in 5 patients(10.4%), re-operation were performed in 2 patients(4.1%). We could lowering the level of amputation in 2 cases.
In summary, in spite of short period of follow-up, the profundaplasty seems to be an effective means of treatment in patients of distal artery occlusion for symptomatic relief and even prevent major amputation in selected cases. The clinical
follow-up
should be needed in the future.
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KEYWORD
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