[Diagnostic criteria when establishing indications for revascularisation of profunda femoris artery]

Abstract

In patients with chronic limb ischemia (CLI) the atherosclerotic process involves the aorto-iliac and/or the femoro-popliteal segment. In most cases there are steno-occlusive lesions of the superficial femoral artery but the profunda femoris artery is often spared. In 30% of the diabetic patients and in 9% of the nondiabetic there are lesions of the profunda femoris artery which are mainly ostial or can be found at the most proximal part. The revascularization of the profunda femoris artery is an important operative method especially in many cases where there is no other possibility of vascular reconstructive operation. In this paper we discuss different diagnostic tests and criteria, which we used when deciding which patients are suitable for profundoplasty--segmental pressures, angiography, Doppler triplex scan.