ISOLATED PROFUNDOPLASTY, AS A LIMB SALVAGE PROCEDURE, A MODIFIED APPROACH | ||||
| The Egyptian Journal of Surgery | ||||
| Volume 19, Issue 3, July 2000, Page 233-242 PDF (641.94 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejsur.2000.378597 | ||||
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| Authors | ||||
| Omar A. EI-Kashef* 1; Sahar Nassef2 | ||||
| 1Departments of surgery, Cairo University | ||||
| 2Departments of internal medicine, Cairo University | ||||
| Abstract | ||||
| Purpose: To study the effect of isolated profundoplasty as a limb and foot salvage procedure in management of patients presented with limb threatening ischemia due to occlusion of SFA, and a stenosis in PFA, with their runoff formed of unreconstructable tibial arteries. Material & Methods: For all the l4 patients included, arteriography was done, but in addition duplex study was used for better assessment of PFA pathology, to obtain the segmental pressures, ABI, PPCI&TAGI for all patients, and for postoperative follow up which was done after 1,3 and 6 months. Aggressive form of profundoplasty using a low-power magnification loop, in which endartrectomy down to the second perforator and involving the branches with patching, was done. Result: Two groups of patients were identified, group A of successful outcome (42.9%) and in them the mean preoperative PPCI was 0.17, TAGI was 0.41 and their AP increase was 57%, 70% & 85% in three successive postoperative readings while their ABI increase was 44%, 54% and 65%. In second group (B) there was failure of foot salvage (57.1%) and in them, the mean preoperative PPCI was, 0.46, TAGI was 0.64 and in the postoperative study the mean AP was 39.6, 44 and 46 mmHg and the mean of ABI was 0.27, 0.3 l and 0.37 in the three successive recordings. A subgroup (B)1 was also identified, and in them, failure of foot salvage, but knee salvage was obtained. Discussion and conclusion: Isolated profundoplasty may be a possible form of revascularization in this particular group of patients, if properly selected. | ||||
| Keywords | ||||
| profundoplsty; limb salvage | ||||
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