Аutogenous vein or graft used simultaneously for both a femoro-popliteal by-pass and profundoplasty

  • В. Княжев Vascular Surgery Clinic, Medical University – Varna, Bulgaria
  • Н. Манолов Vascular Surgery Clinic, Medical University – Varna, Bulgaria
Keywords: femoropopliteal bypass, profundoplasty


We proposed our own method of combining a femoropopliteal bypass grafting with concurrent profundoplasty. We make a 4-6 cm longitudinal incision, which begins on the front aspect of the common femoral artery and continues on the same aspect of the profunda femoris artery. Then we form the proximal anastomosis along this incision with an autovein by means of continuous suture. In this way the graft lying on the whole length of the incision creates simultaneously anastomosis to the common femoral artery and dilates orifice and lumen of the profunda femoris artery, i.e. the profundoplasty. The S-like form of the graft is not inferior haemodynamics to the arch-shaped one. Between January 1991 and December 2003, 24 above-knee original femoropopliteal bypasses were performed. The indications for operation were severe claudication in 6 cases, rest pain in 11 cases, and ulceration in 7 cases. 22 reversed saphenous venous bypasses and 2 polytetrafluoroethylene bypasses were performed. Successful results in the early postoperative period were obtained with 23 patients. For a period of 5 to 15 years thrombosis has been registered in 4 cases - 2 ended with amputation; six patients died during the same period. We conclude after 5-16 years of follow-up that a bypass with saphenous vein and simultaneously profundoplsty have better patency rates at all intervals and needs fewer reoperations. This combination should be the graft material of choice for above-knee femoropopliteal bypasses and should not be preserved for reinterventions.


Astley Cooper Цит. по Gray H. In Anatomy, descriptive and surgical // New York:Bounty Books, 1977:576.

Dunlop GR. In discussion of Billig DM, Callow AD, Deterling RA. Surgical considerations in the management of lesions of the profunda femoris artery //

The American Journal of Surgery, 1970, 119, 4, Pages 392-396

Morris G.C., Edwards W, Cooley D.A. et al. Surgical importance of the profunda femoris artery // Arch. Surg., 1961,82, 52-57.

Leeds FH, Gilfillan RS. Revascularization of the ischemic limb // Surgery 1961; 82: 25-31.

Waibel PP. Autogenous reconstruction of the deep femoral artery // J Cardiovasc Surg (Torino). 1966 May-Jun;7(3):179-81.

Martin P, Renwick S, Stephenson C. On the surgery of the profunda femoris artery // Br J Surg. 1968 Jul;55(7):539–542

Gyurkovics E, Nagy Z, Jámbor G, Kaliszky P.The role of the V-Y plastics in vascular reconstructions directed to the deep femoral artery // Magy Seb. 2001 Dec;54(6):379-82.

Taylor L.M., Baur G.M., Eidemiller L.E. et al. Extended profundoplasty // The American Journal of Surgery, 1981,141, 539-542.

Cormier JM, Janneau D. Combined revascularisation of the superficial and deep femoral arteries by vein graft Nouv Presse Med. 1979 May 12;8(21):1753-5.

Diehm N, Savolainen H, Mahler F, Schmidli J, Do-Dai Do, Baumgartner I, Does Deep Femoral Artery Revascularization as an Isolated Procedure Play a Role in Chronic Critical Limb Ischemia? // Journal of Endovascular Therapy:2004, Vol. 11, No. 2, pp. 119–124.

Natale A, Belcastro M, Palleschi A, Baldi I. The mid-distal deep femoral artery: few important centimeters in vascular surgery. // Ann Vasc Surg. 2007 Jan;21(1):111-6.

Witz M, Shnacker A, Lehmann JM. // Isolated femoral profundoplasty using endarterectomised superficial femoral artery for limb salvage in the elderly // Ann Vasc Surg. 2007 Jan;21(1):111-6.

Schneider PA, Caps MT, Ogawa DY, Hayman ES. Intraoperative superficial femoral artery balloon angioplasty and popliteal to distal bypass graft: an option for combined open and endovascular treatment of diabetic gangrene // J Vasc Surg. 2001 May;33(5):955-62

Nitschmann K., S. Nöldeke1 und T. Hupp Simultaneous open and endovascular surgery on the femoral artery // Journal Gefässchirurgie, 2006,Volume 11, Number 2 ,P.76-83

How to Cite
Княжев, В., & Манолов, Н. (2007). Аutogenous vein or graft used simultaneously for both a femoro-popliteal by-pass and profundoplasty. Bulletin of the International Scientific Surgical Association, 2(2-3), 65-67. Retrieved from http://surgjournal.ru/index.php/BISSA/article/view/209
Original Articles