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Symptomatic Atherosclerosis of the Lower Limbs: Involvement of the Profunda Femoris Artery

Symptomatic Atherosclerosis of the Lower Limbs: Involvement of the Profunda Femoris Artery Abstract Atherosclerosis obliterans is a common disease in white communities, and the arteries to the lower limbs are frequently involved. The profunda femoris artery, however, is less commonly obstructed than the other lower-limb vessels. The profunda femoris artery supplies the large muscles of the thigh and has many major side branches; on the other than, the superficial femoral artery is a conducting artery, whose side branches are relatively few and small in caliber.1 If the superficial femoral artery becomes blocked, the deep femoral artery is capable of supplying an effective collateral bed. There is a growing conviction among some vascular surgeons that restoration of full function of the deep femoral artery will render symptom-free many limbs that have suffered complete occlusion of the superficial femoral artery.1-6 It has been our own impression for some years that arteriographically demonstrable atherosclerotic change in the deep femoral artery is associated with more severe References 1. Martin, P., et al.: On the Surgery of the Profunda Artery , Brit J Surg 55:539-542 ( (July) ) 1968.Crossref 2. Morris, G.C., et al.: Surgical Importance of the Profunda Femoris Artery , Arch Surg 82:32-37 ( (Jan) ) 1961.Crossref 3. Leeds, F.H., and Gilfillan, R.S.: Revascularization of the Ischemic Limb , Arch Surg 82:25-31 ( (Jan) ) 1961.Crossref 4. Darling, R.C., and Linton, R.R.: Aortoiliofemoral Endarterectomy for Atherosclerotic Occlusive Disease , Surgery 55:184-194 ( (Jan) ) 1963. 5. Wesolowski, S.A., et al.: Indications for Aortofemoral Arterial Reconstruction: A Study of Borderline Risk Patients , Surgery 60:288-298 ( (Aug) ) 1966. 6. Dyde, J.A.: Aortic Bifurcation Reconstruction for Claudication , Lancet 2:326-328 ( (Aug 10) ) 1968.Crossref 7. Lindbom, A.: Arteriosclerosis and Arterial Thrombosis in the Lower Limb: A Roentgenological Study , Acta Radiol , (suppl 80) , pp 1-80, 1950. 8. Margulis, A.S., et al.: Arteriographic Manifestations of Peripheral Occlusive Vascular Disease , Amer J Roentgen 78:273-282 ( (Aug) ) 1957. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Symptomatic Atherosclerosis of the Lower Limbs: Involvement of the Profunda Femoris Artery

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Publisher
American Medical Association
Copyright
Copyright © 1969 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1969.01340160093021
Publisher site
See Article on Publisher Site

Abstract

Abstract Atherosclerosis obliterans is a common disease in white communities, and the arteries to the lower limbs are frequently involved. The profunda femoris artery, however, is less commonly obstructed than the other lower-limb vessels. The profunda femoris artery supplies the large muscles of the thigh and has many major side branches; on the other than, the superficial femoral artery is a conducting artery, whose side branches are relatively few and small in caliber.1 If the superficial femoral artery becomes blocked, the deep femoral artery is capable of supplying an effective collateral bed. There is a growing conviction among some vascular surgeons that restoration of full function of the deep femoral artery will render symptom-free many limbs that have suffered complete occlusion of the superficial femoral artery.1-6 It has been our own impression for some years that arteriographically demonstrable atherosclerotic change in the deep femoral artery is associated with more severe References 1. Martin, P., et al.: On the Surgery of the Profunda Artery , Brit J Surg 55:539-542 ( (July) ) 1968.Crossref 2. Morris, G.C., et al.: Surgical Importance of the Profunda Femoris Artery , Arch Surg 82:32-37 ( (Jan) ) 1961.Crossref 3. Leeds, F.H., and Gilfillan, R.S.: Revascularization of the Ischemic Limb , Arch Surg 82:25-31 ( (Jan) ) 1961.Crossref 4. Darling, R.C., and Linton, R.R.: Aortoiliofemoral Endarterectomy for Atherosclerotic Occlusive Disease , Surgery 55:184-194 ( (Jan) ) 1963. 5. Wesolowski, S.A., et al.: Indications for Aortofemoral Arterial Reconstruction: A Study of Borderline Risk Patients , Surgery 60:288-298 ( (Aug) ) 1966. 6. Dyde, J.A.: Aortic Bifurcation Reconstruction for Claudication , Lancet 2:326-328 ( (Aug 10) ) 1968.Crossref 7. Lindbom, A.: Arteriosclerosis and Arterial Thrombosis in the Lower Limb: A Roentgenological Study , Acta Radiol , (suppl 80) , pp 1-80, 1950. 8. Margulis, A.S., et al.: Arteriographic Manifestations of Peripheral Occlusive Vascular Disease , Amer J Roentgen 78:273-282 ( (Aug) ) 1957.

Journal

Archives of SurgeryAmerican Medical Association

Published: Oct 1, 1969

References