title: Principles of operation for combined aortoiliac and femoropopliteal occlusive lesions.
abstract: In combined chronic occlusive lesions at the aortoiliac and femoropopliteal level, partial repair of the central vessels in combination with profundaplasty and lumbar sympathectomy represents a more simple and shorter procedure than does the previously preferred total correction of both segments. In a retrospective study of 403 limbs, Stages II, III and IV, the triad procedure results in a cumulative patency rate of 77 versus 39 percent for total repair. In limb salvage operations, Stages III and IV, the corresponding figures for the amputation rate were 8 versus 36 per cent and for reoperation, 7 versus 23 per cent. Prerequisites for this type of repair are an improved technical approach and a critical selection of patients with a receiving segment of the popliteal artery and a sufficient runoff below the knee.
mesh_terms: D001011:Aorta / Q000601:surgery*; D001157:Arterial Occlusive Diseases / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D005263:Femoral Artery / Q000601:surgery*; D006801:Humans; D007083:Iliac Artery / Q000601:surgery*; D008297:Male; D008722:Methods; D008875:Middle Aged; D011150:Popliteal Artery / Q000601:surgery*; D012189:Retrospective Studies