The current role of isolated profundaplasty
Kalman, P.G.; Johnston, K.W.; Walker, P.M.
Journal of Cardiovascular Surgery 31(1): 107-111
1990
ISSN/ISBN: 0021-9509 PMID: 2324171 Document Number: 362937
The opinions regarding isolated profundaplasty as documented in the literature are divergent, and it is for this reason that we reviewed our results over a 10-year period in order to define the current role for this procedure. The cumulative clinical success rate (both in patient repair and clinical improvement) was 83 +/- 4% at thirty days, 67 +/- 4.8% at one year, 57 +/- 5.9% at two years and 49 +/- 6.8% at three years. The results are best in patients with good tibial outflow (2 or 3 patent vessels), and an early postoperative improvement of ABI greater than 0.10 is predictive of long-term success. Isolated profundaplasty is a good alternative for lower limb revascularization and does not preclude the possibility for distal reconstruction.