[Profound revascularization: a forgotten alternative for multiple vessel reconstruction. A case study]

The profundaplasty represents with the lengthy conical widening of the deep femoral artery in combination with a lumbar sympathectomy L3-L5 a time-saving and effective alternative to multiple and extensive arterial reconstructions in the above and below knee level. An important prerequisite for this method is the exclusion of arteriosclerotic lesions at the aorto-iliac level. Critical selection of the patients and optimal operative technique of the profundaplasty offers results better or at least similar to that of time consuming femoropopliteal resp. cruro-pedal reconstruction. A below the knee reconstruction can always added in case of failure of the profundaplasty. The concentration on the revascularization of the deep femoral artery and reconstruction of the aorto-iliac segment offers a reduction of the operative risk and represents a time saving procedure.