Purpose: To study the effect of isolated profundoplasty as a limb and foot salvage procedure in management of patients
presented with limb threatening ischemia due to occlusion of SFA, and a stenosis in PFA, with their runoff formed of
unreconstructable tibial arteries.
Material & Methods: For all the l4 patients included, arteriography was done, but in addition duplex study was used for
better assessment of PFA pathology, to obtain the segmental pressures, ABI, PPCI&TAGI for all patients, and for
postoperative follow up which was done after 1,3 and 6 months. Aggressive form of profundoplasty using a low-power
magnification loop, in which endartrectomy down to the second perforator and involving the branches with patching, was done.
Result: Two groups of patients were identified, group A of successful outcome (42.9%) and in them the mean
preoperative PPCI was 0.17, TAGI was 0.41 and their AP increase was 57%, 70% & 85% in three successive postoperative
readings while their ABI increase was 44%, 54% and 65%.
In second group (B) there was failure of foot salvage (57.1%) and in them, the mean preoperative PPCI was, 0.46, TAGI
was 0.64 and in the postoperative study the mean AP was 39.6, 44 and 46 mmHg and the mean of ABI was 0.27, 0.3 l and 0.37 in the three successive recordings.
A subgroup (B)1 was also identified, and in them, failure of foot salvage, but knee salvage was obtained.
Discussion and conclusion: Isolated profundoplasty may be a possible form of revascularization in this particular group
of patients, if properly selected.