Myhre H O
Acta Chir Scand. 1977;143(2):105-8.
Fourty-five reconstructions of the profunda femoris artery were performed in 41 patients during the period from 1972 to 1974. 78% were operated upon for pain at rest or distal gangrene. Three patients died postoperatively and in 5 cases the reconstruction failed to save the limb. In 1 additional case the operation probably lowered the amputation level to below knee. There was only 1 late occlusion. In the present material profundaplasty alone or combined with iliac reconstruction could relieve rest pain and save limbs when no other possibilities except amputation existed. However, when significant obstruction of the profounda femoris artery is demonsrated by angiography, profundaplasty should probably be perferred to femoro-popliteal reconstruction in most cases since it represents a minor operation with encouraging long-term results. Lateral angiograms of the deep femoral artery should supplement conventional angiography or lower limb atherosclerosis.
1972年至1974年期间，对41例患者进行了45次股深动脉重建术。78%的患者因静息痛或远端坏疽接受手术。3例患者术后死亡，5例重建术未能保住肢体。另有1例手术可能将截肢平面降至膝下。仅发生1例晚期闭塞。在本研究资料中，当除截肢外别无其他选择时，单纯股深动脉成形术或联合髂动脉重建术可缓解静息痛并保住肢体。然而，当血管造影显示股深动脉存在明显梗阻时，在大多数情况下，股深动脉成形术可能比股腘动脉重建术更可取，因为它是一种小手术，长期效果令人鼓舞。股深动脉的侧位血管造影应作为传统血管造影或下肢动脉粥样硬化检查的补充。
