INFRAGENICULAR ENDOVASCULAR INTERVENTION IN CRITICAL LOWER LIMB ISCHEMIA | ||||
The Egyptian Journal of Surgery | ||||
Volume 32, Issue 1, January 2013, Page 42-47 PDF (636.46 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/ejsur.2013.366757 | ||||
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Authors | ||||
Mohamed Farag1; Hossam Elwakeel* 1; Hesham Sharaf1; Ehab Saad1; khaled A Elaal2 | ||||
1Vascular Surgery Unit, Faculty of Medicine, Mansoura University | ||||
2Vascular Surgery Department, National Diabetology Institute, Egypt | ||||
Abstract | ||||
Purpose: To determine the effectiveness of percutaneous transluminal angioplasty (PTA) for treatment of patients with the infragenicular arterial lesions as a primary choice for management of critical lower limb ischemia due to infragenicular arterial disease. We present the technical success, early- and medium-term outcomes, and limb salvage rate. Methods: The records of 57 patients undergoing infragenicular popliteal artery (IGPA) and tibial vessels PTA presented to vascular unit at Mansoura university hospital over a period between January 2010 and April 2012 was reviewed. Patients underwent follow-up with clinical examinations, ABI, Duplex, and Arteriography. Demographic variables and cardiovascular risk factors, primary patency and limb salvage were analyzed. Results: Mean follow-up was 11.08 + 3.2ranging from 3 to 13 month With Kaplan Mayer analysis, primary patency was 94.7%, 83.8%, and 69.3% at 3, 6, and 12 month, respectively. And limb salvage was 96.5%, 92.9%, and 82.4% at 3, 6, and 12 month, respectively. Conclusions: Infragenicular angioplasty can be used as a primary intervention for CLI and it may be the only choice for some cases. It could be also used as a second step after correction of a proximal lesion (either by open surgery or endovascular) the low complication rate and relatively noninvasive nature of PTA made it first recommendation in infragenicular vessels. | ||||
Keywords | ||||
Ischemia; infragenicular; angioplasty | ||||
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