Miani S, Giuffrida G F, Ghilardi G, Lazaridis J, La Penna A, Giordanengo F
Institute of General and Cardiovascular Surgery, University of Milan, Italy.
Panminerva Med. 1995 Dec;37(4):204-6.
The deep femoral artery is the primary source of blood supply to the lower extremity in presence of superficial and/or popliteal occlusion. The atherosclerotic involvement of the profunda femoris artery is relatively less frequent and generally is localized in the initial segment of the artery. The profundaplasty employed to relieve limb threatening ischemia is infrequently used as an isolated procedure. However many authors demonstrated that restoration of flow through this vessel alone, in patients without significative lesions of the aorto-femoral district, will effectively relieve ischemia when the superficial femoral artery is also occluded. Our experience gained in the last eight years concerns 24 patients (21 male, 3 female). All the patients had severe ischemia of the lower limb with invalidating claudication (13), rest pain (9) and gangrene (2). On the basis of our results, we think that the operation is recommended, whenever possible, in patients with critical ischemia when the possibilities of more extensive revascularizing procedures are absent.
在存在股浅动脉和/或腘动脉闭塞的情况下，股深动脉是下肢血液供应的主要来源。股深动脉的动脉粥样硬化累及相对较少见，且通常局限于动脉的起始段。用于缓解肢体威胁性缺血的股深动脉成形术很少作为一种孤立的手术使用。然而，许多作者表明，在没有主-股动脉区域明显病变的患者中，仅通过该血管恢复血流，当股浅动脉也闭塞时，将有效地缓解缺血。我们在过去八年中的经验涉及24例患者（21例男性，3例女性）。所有患者均有下肢严重缺血，伴有致残性跛行（13例）、静息痛（9例）和坏疽（2例）。根据我们的结果，我们认为，对于存在严重缺血且无法进行更广泛血管重建手术的患者，只要有可能，就建议进行该手术。
