Below Knee Angioplasty in Diabetic Patients: Predictors of Major Adverse Clinical Outcomes | ||||
| The Medical Journal of Cairo University | ||||
| Article 54, Volume 88, December, December 2020, Page 2439-2445 PDF (102.92 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/mjcu.2020.125482 | ||||
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| Authors | ||||
| MOHAMED A.A. KASHKOUSH, M.Sc.; AHMED A. TAHA, M.D.; AHMED S. MOSTAFA, M.D.; AHMED G. FOUAD, M.D. | ||||
| The Department of Vascular Surgery, National Institute of Diabetes* and The Department of General & Vascular Surgery, Faculty of Medicine, Cairo University**, Egypt | ||||
| Abstract | ||||
| Abstract Background: Tibial vessel disease (stenoses or occlusions) has a huge variety of outcomes either technical or clinical, which has an impact on the health authorities. Aim of Study: To locate clinical outcome predictors fol-lowing Plain Old Balloon Angioplasty (POBA) in diabetic patients with below knee atherosclerotic lesions causing Chronic Limb Threatening Ischemia (CLTI). Patients and Methods: Over one year, 67 patients (CLTI 100%) underwent infragenicular angioplasty. Our main interest was Major Adverse Clinical Outcome (MACO) of thelimb operated upon at follow-up which was adressed as clinical failure, need for subsequent endovascular or surgical revas-cularization or amputation. Results: Amputation free survival was seen in 88% with CLTI. Sound healing of wounds was achieved in 76% of cases with a mean value of healing timeof 10.7 months. Significant predictors of MACO were technical failure (p-value 0.002) and occlusive lesions (p-value 0.019). Freedom of MACO was achieved in 76.1%. Conclusions: Infragenicular angioplasty is a feasible therapeutic option in diabetic population. Type ofthe lesions in addition to smoking may be predictors of adverse outcome. | ||||
| Keywords | ||||
| Infra genicular angioplasty; Diabetic population; Adverse outcomes | ||||
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