Miksic K, Novak B
J Cardiovasc Surg (Torino). 1986 Sep-Oct;27(5):544-52.
A retrospective study of 282 profunda femoris artery reconstructions between 1971 and 1981 with follow-up at least two years in 212 (75.1%) is presented. Arteriographic evaluation was performed in 92 cases. Stages III and IV were the indication for revascularization in 86% of cases. An inflow correction was necessary in 60.3% of profunda reconstructions. Factors that bear on the success or failure of profundaplasty were evaluated. These were aorto-iliac inflow, the extent of disease in the profunda femoris artery, the run-off in the distal popliteal-tibial system and the extent of the ischemic lesion. Of the failures most were due to established gangrene, obstructions throughout the whole length of the profunda or patients with a poor popliteal-tibial run-off system. The cumulative limb salvage at two years was 86.8% in limbs subjected to inflow correction procedure and profundaplasty but only in 56.5% of repair of the profunda alone. In the majority of the below-knee amputations after profundaplasty, repair of the profunda was used to lower the level of amputation from above knee to below the knee. Profundaplasty is worth considering even in those patients who cannot be offered other revascularization surgery.
本文对1971年至1981年间282例股深动脉重建术进行了回顾性研究，其中212例（75.1%）进行了至少两年的随访。92例进行了血管造影评估。86%的病例中，III期和IV期是血管重建的指征。60.3%的股深动脉重建需要进行流入道矫正。评估了影响股深动脉成形术成败的因素。这些因素包括主-髂动脉流入道、股深动脉病变范围、腘-胫远端系统的流出道以及缺血病变的范围。失败的病例大多是由于已形成坏疽、股深动脉全程阻塞或腘-胫流出道系统不佳的患者。接受流入道矫正手术和股深动脉成形术的肢体两年累计保肢率为86.8%，而仅行股深动脉修复的肢体保肢率仅为56.5%。在大多数股深动脉成形术后的膝下截肢病例中，股深动脉修复术用于将截肢平面从膝上降低到膝下。即使是那些无法接受其他血管重建手术的患者，股深动脉成形术也值得考虑。
