The Mid-Distal Deep Femoral Artery: Few Important Centimeters in Vascular Surgery
| Autor: | Andrea Palleschi, Irene Baldi, Armando Natale, Mirko Belcastro |
|---|---|
| Rok vydání: | 2007 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Revascularization Ischemia Deep Femoral Artery Humans Medicine Vascular Patency Aged Gangrene business.industry Anastomosis Surgical Leg Ulcer General Medicine Intermittent Claudication Vascular surgery medicine.disease Thrombosis Surgery Femoral Artery medicine.anatomical_structure Amputation Female Radiology medicine.symptom Cardiology and Cardiovascular Medicine business Claudication Vascular Surgical Procedures Diabetic Angiopathies Artery |
| Zdroj: | Annals of Vascular Surgery. 21:111-116 |
| ISSN: | 0890-5096 |
| Popis: | The deep femoral artery is an important artery in lower-limb revascularization. Employing its initial centimeters as either an inflow or an outflow site has been advocated by many authors. The purpose of this work was to highlight the importance of the mid-distal section of the deep femoral artery, underlining its indications and advantages. From January 1998 to December 2004, we performed, at the Misericordia Hospital Vascular Surgery Unit in Grosseto, Italy, 45 bypasses employing the mid-distal deep femoral artery as an inflow or outflow site. Twenty patients (44.4%) had nonhealing ulcers and/or gangrene, while the remainder (25 patients, 55.6%) presented with rest pain or severe claudication. In 41 cases (91.1%), the mid-distal deep femoral artery was used as the inflow site for peripheral bypasses. In four cases (8.9%), the mid-distal deep femoral artery was employed as the outflow site, twice (4.4%) after aortobifemoral branch thrombosis and twice (4.4%), in the same patient, after inguinal prosthetic infection healing. When the mid-distal deep femoral artery was employed as the inflow site, primary and secondary patency at 1 and 5 years were 92.72% vs. 95.20% and 57.39% vs. 72.81%, respectively. We had two early ( |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|