The current role of isolated profundaplasty.
The opinions regarding isolated profundaplasty as documented in the literature are divergent, and it is for this reason that we reviewed our results over a 10-year period in order to define the current role for this procedure. The cumulative clinical success rate (both in patient repair and clinical improvement) was 83 +/- 4% at thirty days, 67 +/- 4.8% at one year, 57 +/- 5.9% at two years and 49 +/- 6.8% at three years. The results are best in patients with good tibial outflow (2 or 3 patent vessels), and an early postoperative improvement of ABI greater than 0.10 is predictive of long-term success. Isolated profundaplasty is a good alternative for lower limb revascularization and does not preclude the possibility for distal reconstruction.
Kalman
P G
PG
Division of Vascular Surgery, Toronto General Hospital, University of Toronto, Ontario, Canada.
Johnston
K W
KW
Walker
P M
PM
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000842:Ankle / Q000098:blood supply; D001794:Blood Pressure; D001807:Blood Vessel Prosthesis; D001916:Brachial Artery / Q000503:physiopathology; D005260:Female; D005263:Femoral Artery / Q000601:surgery*; D006801:Humans; D007511:Ischemia / Q000601:surgery*; D007866:Leg / Q000098:blood supply*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications