Ouriel K, DeWeese J A, Ricotta J J, Green R M
J Vasc Surg. 1987 Sep;6(3):217-20.
The distal profunda femoris artery is frequently spared from atherosclerosis and can be used as a recipient vessel in the absence of a satisfactory common or superficial femoral artery. During a 15-year period 53 inflow procedures were done to the distal profunda femoris artery at a point more than 3 cm from its origin. The ankle-brachial systolic pressure index increased an average of 0.27 +/- 0.04 postoperatively. Limb salvage was achieved in 33 of 37 threatened extremities (89%) and claudication improved in 10 of 14 cases (71%). Symptomatic improvement was dependent on an open popliteal segment and a low profundapopliteal collateral index. The overall 4-year patency by life-table methods was 76%, with a patency of 100% for femoroprofunda crossover grafts, 96% for aorto- and ilioprofunda grafts but only 26% for axilloprofunda grafts. Bypass to the distal profunda femoris artery represents a viable alternative when the common and superficial femoral arteries are unsuitable for outflow, with results comparable to procedures done to a healthy common femoral artery.
股深动脉远端通常不受动脉粥样硬化影响，在没有合适的股总动脉或股浅动脉时可作为受体血管。在15年期间，对距股深动脉起点超过3 cm处进行了53次股深动脉远端流入手术。术后踝肱收缩压指数平均升高0.27±0.04。37条濒危肢体中的33条（89%）实现了保肢，14例中的10例（71%）间歇性跛行得到改善。症状改善取决于腘动脉开放节段和低股腘侧支指数。通过寿命表法计算的总体4年通畅率为76%，股深交叉移植的通畅率为100%，腹主动脉-股深和髂股深移植的通畅率为96%，但腋股深移植的通畅率仅为26%。当股总动脉和股浅动脉不适合作为流出道时，股深动脉远端旁路移植是一种可行的替代方法，其结果与对健康股总动脉进行的手术相当。
