The current role of isolated profundaplasty.

Abstract

The opinions regarding isolated profundaplasty as documented in the literature are divergent, and it is for this reason that we reviewed our results over a 10-year period in order to define the current role for this procedure. The cumulative clinical success rate (both in patient repair and clinical improvement) was 83 +/- 4% at thirty days, 67 +/- 4.8% at one year, 57 +/- 5.9% at two years and 49 +/- 6.8% at three years. The results are best in patients with good tibial outflow (2 or 3 patent vessels), and an early postoperative improvement of ABI greater than 0.10 is predictive of long-term success. Isolated profundaplasty is a good alternative for lower limb revascularization and does not preclude the possibility for distal reconstruction.