Surgery of the Deep Femoral Artery

Circulation through the deep femoral artery and its branches is critical to patients with aortoiliac and infrainguinal arteriosclerosis. It is, accordingly, essential that all physicians who are seriously interested in treating patients with lower extremity ischemia have a good working knowledge of this crucial artery's anatomy and func tion. It is equally essential that they be aware of arteriosclerotic disease patterns that involve this important artery, how these patterns can be Clccurately defined, and, most importantly, what therapeutic options are available and when they should be used. All this important information relating to the deep femoral artery and its surgical significance is included in Dr. Merlini's fine volume. Eighteen authors have contributed 11 well-edited and nicely illustrated chapters that provide all the facts that the com mitted vascular surgeon would ever want to know about the deep femoral artery and how it should be managed in patients with lower limb ischemia. Although some of the chapters overlap in some areas, this adds to the value of the book since the different authors are' all acknowledged experts and their varying perspectives. are beneficial to a reader seeking to formulate his own unbiased views.

Klappentext

This book is dedicated to the surgery of the deep femoral artery in chronic ischaemia of the lower limb. When ischaemia is secondary to obstruction of the superficial femoral artery, it can be treated successfully by a femoropopliteal bypass. In certain cases, the situation is more complicated, however, and such a bypass is impossible; here, ischaemia is often severe and the viability of the leg endangered. By improving the flow in the deep femoral artery, it is possible under certain conditions to compensate for this insufficiency in the main vascular axis. The book first presents an anatomical description, followed by details of haemodynamic and radiological examination, indications for improving the deep flow, and finally surgical techniques and their results.

Zusammenfassung
"The editors of this book deserve abundant congratulations... Each of the eleven chapters are well illustrated, well written, well organized, and informative... despite its comprehensiveness, the conciseness and excellent illustrations make the book extremely readable." World Journal of Surgery

Inhalt
1 Surgical Anatomy of the Deep Femoral Artery.- 2 Embryology and Phylogenetic Considerations.- 3 Atherosclerotic Lesions of the Deep Femoral Artery Profundapopliteal Collateral System.- 4 Clinical and Laboratory Investigations of the Obstruction of the Deep Femoral Artery.- 5 Roentgenologic Aspects of the Obstruction of the Deep Femoral Artery.- 6 Indications for Profundaplasty.- 7 Surgical Approaches.- 8 Deep Femoral Artery Revascularization.- 9 Profundaplasty.- 10 Deep Femoral Artery Reconstruction.- 11 Follow-Up Studies and Conclusions.