Comparison between superficial femoral artery ballooning versus stenting and ballooning in limb ischemia | ||
| ARCADEs of MEDICINE | ||
| Articles in Press, Accepted Manuscript, Available Online from 08 September 2025 | ||
| Document Type: Original Research | ||
| DOI: 10.21608/arcmed.2025.388837.1130 | ||
| Authors | ||
| Ahmed Herisha; Ayman Refaat; Omar Wagdy* ; Khaled Shawky; Ayman Salem | ||
| Armed forces college of medicine | ||
| Abstract | ||
| Comparison between superficial femoral artery ballooning versus stenting and ballooning in critical limb ischemia Abstract Background: Over 200 million individuals throughout the globe suffer from peripheral artery disease (PAD). Complex and individual treatment approaches are needed for CLI. Wound debridement for tissue loss, risk factor modification, and revascularization (bypass grafting, angioplasty), are all potential treatments for CLI Methods: This is an interventional prospective study conducted on 82 patients presenting to Military Armed Forces Hospitals from January 2023 to July 2023. Patients age more than 30 years old with critical lower limb ischemia and symptomatic atherosclerotic occlusive lesions of SFA with at least one patent below-the-knee artery with uninterrupted flow to the pedal arch were included in this trial while patients with a history of contrast allergy and patients with impaired renal functions were excluded Results: Among 82 patients included in the trial there were no statistically significant difference between both arms regarding immediate post operative clinical improvement outcome (p=0.153), the 1 month follow up by CT aortography (p=0.115) and the 3 months follow up period by CT aortography (p=0.109) Conclusion: (CLI) is a life-threatening condition that could lead to limb loss. That is why urgent intervention is most required. The surgical option is advised in most cases. PTA showed early short-term clinical improvement similar to the combined PTA and bare metal. However, further research with an extended follow-up period on a larger sample size is recommended. | ||
| Keywords | ||
| Keywords: Critical limb ischemia; Revascularization; Stenting; Ballooning | ||
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