Abstract
Extended profundoplasty is an effective procedure for limb salvage when the proximal zone of the profunda femoris artery has an occlusive lesion. Between 1987 and 1994 six patients with the critical leg ischemia underwent the extended profundoplasty for limb salvage or relief of rest pain. There were all men except one, with an average age of 79. All lesions were caused by arteriosclerosis obliterans and were critical as rated as Fontaine classification III or IV preoperatively. The ankle/brachial pressure index (API) were 0.27 and 0.46 in two limbs, and it could not be determined in the remaining four limbs. An inflow correction was necessary in five limbs, axilloprofunda bypass in three, and femoroprofunda bypass in two. The API increased to an average of 0.6 postoperatively, and the ischemic symptoms were relieved. It is concluded that the success of the extended profundoplasty may save critical ischemic limbs.
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