J.Jpn. Surg. Soc.. 89(12): 2023-2027, 1988
Original article
A CLINICAL STUDY OF EXTENDED PROFUNDAPLASTY FOR SEVERELY ISCHEMIC LIMBS
|
First Department of Surgery, Nagoya University School of Medicine, Nagoya, Japan Teruo Ikezawa, Masayuki Miyauchi, Haruo Satoh, Susumu Moriguchi, Shigehiko Shionoya |
The subjects were all males, and ages ranged from 62 to 84 years (mean: 72.8 years). Symptoms were disabling claudication in one limb (1 case), rest pain in 5 (4 cases), and gangrene of the foot or ulcer of the toes in 5 (3 cases).
Preoperative ankle pressure index (API) was 0 in 7 limbs (5 cases), and between 0.11 and 0.27 in the remaining 4 limbs (3 cases).
Thrombectomy was performed in two cases, axillo-bifemoral bypass in 5, femoro-femoral bypass in one, and aorto-bifemoral bypass in one, as surgery for improvement in inflow.
Although postoperative API remained 0 in 4 limbs, it increased between 0.36 and 0.56 in the remaining limbs.
One subject died of heart failure on the 22nd postoperative day, and two limbs required below-knee amputation. Limb salvage rate was 81.8%.
Extended profundaplasty seems to be a worthwhile choice of treatment as a limb salvage operation for severely ischemic limbs due to extended arteriosclerotic occlusions involving not only aorto-iliac but also femoro-popliteal or crural segment.
To read the PDF file you will need Adobe Reader installed on your computer.