Hybrid technique with endovascular privilege in management of critical lower limb ischemia | ||||
Minia Journal of Medical Research | ||||
Volume 31, Issue 3, July 2020, Page 69-73 PDF (391.17 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/mjmr.2022.219914 | ||||
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Authors | ||||
Mostafa N. El-Sanadeky; Othman A. Othman; Wael M. Kamel; Mostafa H. Abdelsalam | ||||
Department of General Surgery, El-Minia Faculty of Medicine | ||||
Abstract | ||||
Introduction: Peripheral arterial disease (PAD) represents a local manifestation of a lethal systemic disease atherosclerosis and portends a 2-6fold increase in both cardiovascular and cerebrovascular events. The diagnosis is also associated with an annual mortality rate of 4%-6%. (Malyar et al., 2016). Aim of the work: 1- Evaluation of the feasibility and efficacy of the hybrid surgical and endovascular therapy in patients with complex multifocal steno-occlusive vascular disease. 2- Report short and midterm outcomes through assessment of patency and salvage rate. 3- Evaluate safety of hybrid procedure , and report complications and re-intervention if needed . Patients and Methods: A prospective study was carried out on twinty patients (20 limbs) presented with critical lower limb ischemia due to multi-level peripheral arterial disease involving CFA presented to the vascular and endovascular surgery unite , General surgery department , Minia university hospital. Results: The study included twenty patients (20 limbs) who were suffering from multilevel peripheral arterial disease with critical lower limb ischemia, who underwent hybrid procedures at vascular and endovascular surgery unit Minia University Hospital, Egypt. Summary: Our results show that CFA endarterectomy or bypass surgery in compination with inflow or outflow endovascular procedures can simplify the management of multilevel PAD in this group of high risk patients, as each lesion in different patho-anatomical configuration can be treated with an approach that will best optimize outcomes and ensure safety for the patients as a whole. | ||||
Keywords | ||||
Keywords: Peripheral arterial disease; endovascular; cardiovascular and cerebrovascular | ||||
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