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Related Experiment Videos

Profundaplasty in the ischemic extremity.

R Rutledge, S J Burnham

    The Journal of Cardiovascular Surgery
    |March 1, 1983
    PubMed
    Summary
    This summary is machine-generated.

    Primary profundaplasty offers limited benefit for severe peripheral vascular disease distal to the inguinal ligament. Acute arterial occlusion may be an exception, but other preoperative factors did not predict success.

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    Area of Science:

    • Vascular Surgery
    • Peripheral Vascular Disease
    • Reconstructive Surgery

    Background:

    • Peripheral vascular disease (PVD) distal to the inguinal ligament affects numerous patients.
    • Vascular reconstruction is a common treatment for severe PVD.
    • Profundaplasty is a surgical option for patients unsuitable for bypass grafting.

    Purpose of the Study:

    • To evaluate the outcomes of primary profundaplasty in patients with unreconstructible PVD distal to the inguinal ligament.
    • To identify predictors of successful outcomes for primary profundaplasty.

    Main Methods:

    • Retrospective review of 14 patients undergoing primary profundaplasty between 1973-1979.
    • Pre-operative assessment included Doppler arterial pressures and arteriography.

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  • Patient outcomes were analyzed based on presenting complaint and severity of PVD.

    • Main Results:

    • Profundaplasty showed success in patients with acute arterial occlusion and mixed results for claudication.
    • Patients with gangrene or chronic rest pain experienced poor outcomes, often requiring amputation.
    • Presenting complaint was the most reliable predictor of outcome; Doppler pressures and arteriography were not predictive.

    Conclusions:

    • Primary profundaplasty has a limited role in managing severe PVD distal to the inguinal ligament.
    • Patients presenting with acute arterial occlusion may represent a select group who can benefit.
    • Surgical decision-making should prioritize presenting symptoms over non-invasive imaging or pressure measurements.