Clinical Analysis Of Femoral Profundoplasty In The Treatment Of Lower Extremity Atherosclerotic Occlusive Disease

Objective:Retrospective analysis and summarize the curative effect of femoral profundoplasty in the treatment of lower extremity atherosclerotic occlusive disease.Methods:Use femoral profundoplasty to treat the patients who were in Fontaine stage Ⅲ and Ⅳ,suffered from lower extreamity atherosclerotic occlusive disease from January 2015 to December 2016 in The second affiliated hospital of ningxia medical university.These 28 patients have superficial femoral artery long-segment total occlusion and severe resting pain of lower limbs with failure interventional therapy.There were 11 patients treat with common femoral artery and femoral profound artery atheromatous plaque removal surgery,17 cases in addition to the artery atheromatous plaque removal surgery and autogenous great saphenous vein patch(14 cases)、 artificial blood vessel patch(3 cases)to widen femoral profound artery.Results:Patients were followed up for6 to 2 years,17 cases’ resting pain were disappeared,6 cases’ resting pain were relieved,and 5 cases’ resting pain with no mitigation.ABI was elevated by an average 0.37±0.02 after operation.23 cases’ footskin temperature was significantly elevated after operation,14 cases’ intermittent claudication distance were more than 200 meters,5 cases’ less than 100 meters and 4 cases’ less than 20 meters.4 patients with foot ulcers cured in 3 months after the operation;2 cases with no effect.3 patients still have unmitigated resting pain,and then underwent a secondary below-knee amputation after the surgery.2 patients were dead because of the unmitigated resting pain.For the effectiveness of 23 patients,there were 6 patients take the lower extremity artery CTA showed that the lower limb blood formed collateral circulation to distal end of lower leg through the femoral profound artery.Concluion:Use the femoral profundoplasty to expand tehfemoral profound artery to be the outflow tract to save the ischemic limb has the advantages of high surgical successful rate、timesaving and high long-term patency rate,especially apply to the frail elderly who are intolerance of operation.For the patients who were extensive block of iliac artery、common artery & superficial artery and those who has no outflow tract,the femoral profundoplasty has played a positive role in alleviating pains and extending the paitients’ intermittent claudication.