Pathophysiology of the profunda femoris artery in chronic lower limb ischemia

Manenti, Antonio; Roncati, Luca; Manco, Gianrocco; Zizzo, Maurizio; Farinetti, Alberto

doi:10.1016/j.avsg.2021.05.028

Cited by 4 publications

(1 citation statement)

References 11 publications

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“…According to these studies, in cases of chronic limb ischaemia, the DFA can progressively double in size because it is an elastic blood vessel. This may have been responsible for the formation of new collaterals in the DFA and its branches [23].…”

Section: Resultsmentioning

confidence: 99%

Using Isolated Femoral Bifurcation Endarterectomy or Combined with Bypass Surgery for Patients with Chronic Limb-Threatening Ischemia

Ahmic,

Hitzl,

Seitelberger

et al. 2024

Medicina

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Background and Objectives: The aim of this study was to evaluate the clinical outcomes of patients suffering from chronic limb-threatening ischemia (CLTI) and tissue loss treated with primary isolated femoral bifurcation endarterectomy (FBE) or with FBE combined with bypass surgery. Materials and Methods: This retrospective study was performed in a tertiary university-based care centre. Between January 2008 and December 2019, a prospectively collected database of patients suffering from CLTI and tissue loss and undergoing either primary FBE (group A) or FBE in combination with bypass surgery (group B) was analysed. Study endpoints were ulcer healing, primary and secondary patency rate, limb salvage, and survival. Results: In total, FBE was performed in 73 patients and FBE with bypass in 60 patients. Between both groups, there were no significant differences regarding demographic data or the Global Limb Anatomic Staging System (GLASS) grade III and IV of femoropopliteal lesions. After 3 years, ulcer healing could be achieved in 72% of FBE and in 75% of FBE with bypass patients. The primary patency rate was 95% and 91% for FBE and 83% and 80% for FBE with bypass after one and three years, respectively. The 3-year limb-salvage rate was 78% for FBE and 84% for FBE with bypass. The secondary patency rate after one and three years was 99% and 97% for FBE and 93% and 88% for FBE with bypass. Conclusions: FBE and FBE with bypass are equally effective for ulcer healing in cases of combined CFA and superficial femoral artery lesions. There was no significant difference between both groups regarding primary and secondary patency rates, limb salvage rates and ulcer healing. Isolated FBE could be an alternative strategy in patients with higher operative risk.

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Section: Resultsmentioning

confidence: 99%

Using Isolated Femoral Bifurcation Endarterectomy or Combined with Bypass Surgery for Patients with Chronic Limb-Threatening Ischemia

Ahmic,

Hitzl,

Seitelberger

et al. 2024

Medicina

View full text Add to dashboard Cite

show abstract

Isolated Femoral Bifurcation Endarterectomy or Combined with Bypass Surgery in Patients with Chronic Limb Threatening Ischemia

Ahmic,

Hitzl,

Seitelberger

et al. 2024

Preprint

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Objective: The aim of this study was to evaluate the clinical outcome of patients suffering from chronic limb threatening ischemia (CLTI) and tissue loss treated with primary isolated femoral bifurcation endarterectomy (FBE) or with FBE combined with bypass surgery. Methods: This retrospective study was performed in a tertiary university based care center. Between January 2008 and December 2019 a prospectively collected database of patients suffering from CLTI and tissue loss and undergoing either primary FBE (group A) or FBE in combination with bypass surgery (group B) was analysed. Study endpoints were ulcer healing, primary and secondary patency rate, limb salvage and survival. Results: In total, FBE was performed in 73 and FBE with bypass in 60 patients. Between both groups there were no significant differences regarding demographic data or the Global Limb Anatomic Staging System (GLASS) grade III and IV of femoropopliteal lesions. After 3 years, ulcer healing could be achieved in 72% of FBE and in 75% of FBE with bypass patients. The primary patency rate was 95% and 91% for FBE and 83% and 80% for FBE with bypass after one and three years, respectively. The 3-year limb salvage rate was 78% for FBE and 84% for FBE with bypass. The secondary patency rate after one and three years was 99% and 97% for FBE and 93% and 88% for FBE with bypass. Conclusion: FBE and FBE with bypass are equally effective for ulcer healing in cases of combined CFA and superficial femoral artery lesions. There was no significant difference between both groups regarding primary and secondary patency

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Anatomical features of the profunda femoris artery as a factor in the degree of chronic limb ischemia

Vakhitov,

Kuvazhukova

et al. 2024

Regional blood circulation and microcirculation

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Pathophysiology of the profunda femoris artery in chronic lower limb ischemia

Cited by 4 publications

References 11 publications

Using Isolated Femoral Bifurcation Endarterectomy or Combined with Bypass Surgery for Patients with Chronic Limb-Threatening Ischemia

Using Isolated Femoral Bifurcation Endarterectomy or Combined with Bypass Surgery for Patients with Chronic Limb-Threatening Ischemia

Isolated Femoral Bifurcation Endarterectomy or Combined with Bypass Surgery in Patients with Chronic Limb Threatening Ischemia

Anatomical features of the profunda femoris artery as a factor in the degree of chronic limb ischemia

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