title: Extended profundaplasty. Indications and techniques with results of 46 procedures.
abstract: We performed extended profundaplasty 46 times in 36 patients. Twelve procedures were performed for ischemic ulcers, 23 for ischemic rest pain and 10 for short-distance claudication. Fourteen procedures were performed independently, 21 to provide outflow for proximal bypass grafts, and 11 were combined with distal bypass grafts. Four of the 46 procedures failed; the rest have been successful for limb salvage or relief of symptoms at a mean follow-up of 15 months. Technical points emphasized are autogenous patch closure of the entire endarterectomy site and careful attention to end-point detail. The results demonstrate that this procedure provides durable limb revascularization.
mesh_terms: D000368:Aged; D001807:Blood Vessel Prosthesis; D004691:Endarterectomy / Q000379:methods; D005260:Female; D005263:Femoral Artery / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D007511:Ischemia / Q000601:surgery*; D007866:Leg / Q000098:blood supply*; D007871:Leg Ulcer / Q000601:surgery; D008297:Male; D008722:Methods; D012501:Saphenous Vein / Q000637:transplantation; D014182:Transplantation, Autologous