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March 1985

Endarterectomized Superficial Femoral Artery as an Arterial Patch

Author Affiliations

From the Department of Surgery, Medical College of Wisconsin, Milwaukee. Dr Rollins is presently with the Department of Surgery, University of Health Sciences, The Chicago Medical School, North Chicago.

Arch Surg. 1985;120(3):367-369. doi:10.1001/archsurg.1985.01390270105018

• Eighty-six patients underwent 90 profundaplasties for lower extremity ischemia using endarterectomized superficial femoral artery (ESFA) or vein as an arterial patch. Standard length profundaplasty was performed in 60 limbs and extended profundaplasty in 28. Seventy-two were performed for limb salvage and 18 for severe claudication. Fifty-four limbs underwent inflow reconstruction and profundaplasty, while 36 others had profundaplasty alone. Three-year cumulative patency rates were employed to compare the type of autogenous patch material to the profundaplasty length, operative indications, and procedures. In all groups, ESFA performed as well as vein. Endarterectomized superficial femoral artery patch angioplasty provides comparable long-term results to vein patch in patients undergoing profundaplasty, and demonstrates its durability as a vascular patch in situations where autogenous tissue is required or preferred while preserving the saphenous vein for later use.

(Arch Surg 1985;120:367-369)

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