Case-control comparison of profundaplasty and femoropopliteal supragenicular bypass for peripheral arterial disease.
BACKGROUND
The aim of this study was to compare preoperative and postoperative findings, and clinical progress in patients with peripheral arterial occlusive disease undergoing femoropopliteal supragenicular bypass or profundaplasty in a case-control study.


METHODS
Between January 2001 and June 2004, 171 patients with occlusion of the superficial femoral artery underwent surgery. A retrospective analysis of 28 matched patient pairs was performed. Endpoints were bypass occlusion, surgical revision, amputation and death. Mean length of follow-up was 36 months.


RESULTS
At 3 years after surgery there was no statistically significant difference in outcome between femoropopliteal bypass surgery and profundaplasty. There was a trend towards improved results in patients who had bypass surgery for critical leg ischaemia. Preoperative patency of the crural outflow arteries was an independent prognostic factor in multivariable analysis.


CONCLUSIONS
There were no significant outcome differences between supragenicular bypass surgery or profundaplasty in patients who had surgery for intermittent claudication or ischaemic rest pain. Patients with a single patent tibial artery and gangrene or ulceration appeared to benefit more from bypass surgery.
Koscielny
A
A
Department of General, Thoracic and Vascular Surgery, Bonn, Germany. Arne.Koscielny@ukb.uni-bonn.de
Pütz
U
U
Willinek
W
W
Hirner
A
A
Mommertz
G
G
D000368:Aged; D000369:Aged, 80 and over; D000671:Amputation, Surgical; D016022:Case-Control Studies; D005260:Female; D005263:Femoral Artery / Q000601:surgery*; D006083:Graft Occlusion, Vascular / Q000209:etiology; D006801:Humans; D007511:Ischemia / Q000401:mortality / Q000601:surgery; D007866:Leg / Q000098:blood supply; D008297:Male; D008875:Middle Aged; D016491:Peripheral Vascular Diseases / Q000401:mortality / Q000601:surgery*; D011150:Popliteal Artery / Q000601:surgery*; D011300:Preoperative Care; D012086:Reoperation; D012189:Retrospective Studies; D016896:Treatment Outcome; D014654:Vascular Patency