[Profundaplasty--a palliative operation in leg arterial occlusion of the aged?].
In a retrospective study the relevance of revascularisation of the deep femoral artery was evaluated in 100 geriatric patients with obliterative atherosclerosis. The results of profundaplasty were good in 91% of patients with claudication (follow-up 47 months). In patients with rest pain the limb salvage rate was 77% (follow-up 39 months). In comparison with femoropopliteal or femorocrural bypass the results were at least even but had lower lethality. In a state of gangrene the limb salvage rate was 39% overall (follow-up 31 months). Diabetics had a limb salvage rate of 28% versus 43% in non diabetics. In a state of claudication and rest pain with stenosis of the deep femoral artery its revascularisation is in our view the treatment of first choice. In a state of gangrene bypass implantation, especially in diabetics, seems to have better results, but as additional palliation before primary amputation profundaplasty should be performed.
Liepe
B
B
Valesky
A
A
Fritzenwanker
B
B
D000368:Aged; D000671:Amputation, Surgical; D001157:Arterial Occlusive Diseases / Q000601:surgery*; D001162:Arteriosclerosis Obliterans / Q000601:surgery; D003925:Diabetic Angiopathies / Q000601:surgery; D005260:Female; D005263:Femoral Artery / Q000601:surgery*; D006801:Humans; D007383:Intermittent Claudication / Q000601:surgery; D007511:Ischemia / Q000601:surgery; D007866:Leg / Q000098:blood supply*; D008297:Male; D010166:Palliative Care; D011183:Postoperative Complications / Q000401:mortality; D012306:Risk
Die Profundaplastik--eine Palliativoperation beim Beinarterienverschluss des alten Menschen?