Profunda Femoris Reconstruction in the Treatment of Femoropopliteal Occlusive Disease

The non-selective use of profundaplasty in lower limb ischaemia

“…Arterial flaps (Waibel, 1966), 'Dacron' (Sproul, 1968) and autogenous vein have all been used successfully for profunda angioplasty. Authois are divided in the routine use of common femoral and profunda femoris endarterectomy together with a patch grafting technique whilst Cohn et al (1971) report excellent results using endarterectomy alone without patch grafting. Important aspects of the radiology of the common femoral artery bifurcation were highlighted by Beales et al (1971) who emphasized that the posterolateral inclination of the profunda femoris artery at its origin made accurate estimation of stenosis in this vessel impossible in standard A-P arteriograms.…”