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October 1971

Profunda Femoris Reconstruction in the Treatment of Femoropopliteal Occlusive Disease

Author Affiliations

Stanford, Calif
From the Department of Surgery, Stanford University (Calif) School of Medicine, and the Veterans Administration Hospital, Palo Alto, Calif. Dr. Cohn is now with Peter Bent Brigham Hospital, Boston.

Arch Surg. 1971;103(4):475-479. doi:10.1001/archsurg.1971.01350100069012

Sixteen extremities with severe femoropopliteal occlusion in 11 patients were treated by common femoral-profunda femoris (CF-PF) endarterectomy. In all 16, autogenous reconstruction could be carried out. Symptoms of rest pain in seven and claudication in nine were relieved. In those patients tested, treadmill testing and intraoperative flows increased substantially after reconstruction. It is concluded that this operation is effective in selected patients with femoropopliteal occlusive disease, and should be considered as an alternative to bypass procedures, particularly in those with CF-PF obstruction.