Document Detail

When can revascularization be limited to the profunda femoris alone?
MedLine Citation:
PMID:  681438     Owner:  NLM     Status:  MEDLINE    
Dealing with lower limbs arteriopathies with combined aorto iliac and superficial femoral occlusive diease and when ischemia leads to operation should an extension bypass to the popliteal or tibial artery be associated every time it is possible? The authors have investigated the results of revascularizing operation above the profunda femoris on 35 limbs (27 patients). On 19 limbs only, has the revascularization been sufficient to cure the distal ischemia. On the other 16 limbs, a second operation was necessary 7 times an extension bypass to the popliteal or tibial artery, once an above knee amputation, twic a below knee amputation. From the comparison of these results with the degree of ischemia and the arteriographic aspect of the profunda femoris, the author's conclusion is that revascularization must extent below the profunda femoris unless the profunda is in good condition and there is no rest ischemia.
J Watelet; J Testart; P Teniere; S Chamoun; G Ducable
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of cardiovascular surgery     Volume:  19     ISSN:  0021-9509     ISO Abbreviation:  J Cardiovasc Surg (Torino)     Publication Date:    1978 Jul-Aug
Date Detail:
Created Date:  1978-10-27     Completed Date:  1978-10-27     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0066127     Medline TA:  J Cardiovasc Surg (Torino)     Country:  ITALY    
Other Details:
Languages:  eng     Pagination:  345-54     Citation Subset:  IM    
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MeSH Terms
Arterial Occlusive Diseases / pathology,  surgery*
Femoral Artery / pathology,  surgery*
Ischemia / complications
Leg / blood supply*
Middle Aged
Postoperative Complications
Thrombosis / etiology

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