[Atheromatous thromboses of the superficial femoral artery. (Apropos of 400 surgically treated cases)].
The authors report a consecutive series of 400 cases of atheromatous thrombosis of the femoral artery operated on between 1962 and 1972, which gave them an overall idea of the results of surgical treatment with a certain follow-up. This study confirms the importance of the state of the vascular bed beyond the obstruction in the maintenance of permeability after the operation. There are 50 p. 100 long-term failures when the thrombosis extends into the popliteal artery. On the other hand, lesions above the thrombosis, in the aortic or iliac arteries, have little influence on the final result, provided they are treated during the same operation. Lumbar sympathectomy alone gave very poor results but one should note that, in this series, it was reserved for the cases with the poorest prognosis, when any other operation was impossible or contra-indicated. In extreme cases, revascularisation alone of the profunda femoris permitted us in almost all cases to save the limb, leaving intact the symptoms of obstruction of the superficial femoral artery, in particular, intermittent claudication.
D001161:Arteriosclerosis / Q000150:complications*; D001166:Arteriovenous Shunt, Surgical; D004691:Endarterectomy; D005263:Femoral Artery / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D011183:Postoperative Complications; D013562:Sympathectomy; D013927:Thrombosis / Q000601:surgery*
Thromboses athéromateuses de l'artère fémorale superficielle. (A propos de 400 cas opérés)