A technique for profunda femoris artery reconstruction. Hemodynamic assessment and functional results

A modified technique of profunda femoris artery reconstruction is presented. In case of occlusion of the superficial femoral artery, the proximal segment of this vessel is rolled over the profunda femoris artery as a patch after an endarterectomy has been performed. This technique has been performed in 110 patients (131 limbs) during the last 14 years. Five-year actuarial patency rate (life-table method) was 65.3%. With measurements obtained from nine biplanar angiograms, glass models of three different methods of profunda femoris reconstruction were constructed. The model representing this modified technique of profundaplasty showed less turbulence than the others. The results of this study validate the use of this type of profundaplasty in clinical practice.