Hybrid Revascularization by Common Femoral Artery Endarterectomy and Proximal or Distal Angioplasty in Patients with Critical Lower Limb Threatening Ischemia
Labeb, M., Fekry, M. (2024). Hybrid Revascularization by Common Femoral Artery Endarterectomy and Proximal or Distal Angioplasty in Patients with Critical Lower Limb Threatening Ischemia. EKB Journal Management System, 16(16), 53-63. doi: 10.21608/muj.2023.257948.1157
Muhammad Labeb; Meera Refat Fekry. "Hybrid Revascularization by Common Femoral Artery Endarterectomy and Proximal or Distal Angioplasty in Patients with Critical Lower Limb Threatening Ischemia". EKB Journal Management System, 16, 16, 2024, 53-63. doi: 10.21608/muj.2023.257948.1157
Labeb, M., Fekry, M. (2024). 'Hybrid Revascularization by Common Femoral Artery Endarterectomy and Proximal or Distal Angioplasty in Patients with Critical Lower Limb Threatening Ischemia', EKB Journal Management System, 16(16), pp. 53-63. doi: 10.21608/muj.2023.257948.1157
Labeb, M., Fekry, M. Hybrid Revascularization by Common Femoral Artery Endarterectomy and Proximal or Distal Angioplasty in Patients with Critical Lower Limb Threatening Ischemia. EKB Journal Management System, 2024; 16(16): 53-63. doi: 10.21608/muj.2023.257948.1157

Hybrid Revascularization by Common Femoral Artery Endarterectomy and Proximal or Distal Angioplasty in Patients with Critical Lower Limb Threatening Ischemia

Medicine Updates
Volume 16, Issue 16, January 2024, Page 53-63  XML PDF (925.48 K)
Document Type: Original Article
DOI: 10.21608/muj.2023.257948.1157
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Authors
Muhammad Labeb email 1, 2; Meera Refat Fekry3, 4
1Vascular surgery unit, faculty of medicine, port said university
2As-salam hospital - Egypt healthcare authority-Portsaid - Egypt
3Vascular surgery unit, faculty of medicine, Suez canal university
4Ismailia medical complex - Egypt healthcare authority - Ismailia -Egypt
Abstract
Background: Hybrid approach has been considered as an effective technique for reconstruction of multi-level arterial stenosis or occlusion. The simultaneous combined techniques have shown satisfactory outcomes in terms of patency, technical success and less invasiveness in high-risk patients. The purpose of this study to compare CFA endarterectomy (CFE) combined with either proximal or distal endovascular intervention or both.
Methods: retrospective study of prospectively collected data of patients presented with critical limb threatening ischemia (CLTI) with multi-level peripheral arterial disuses include femoral territory and proximal and/or distal arterial disease. All patients had CFE and endovascular intervention at Egypt healthcare authority hospitals.
Results: this study included 30 patients stratified into three groups according to the site of concurrent endovascular intervention; group 1 had proximal endovascular intervention (n=7); group 2 had distal endovascular intervention (n=12); and group 3 with combined proximal and distal intervention (n = 11), 100% technical success reported with overall primary patency at 24 months of 85%. Limb salvage at 24 months was 92.5%.
Conclusion: Common femoral endarterectomy is the gold standard treatment for common femoral artery lesions with excellent patency. In multi-level peripheral arterial disease, the endovascular intervention could improve the outcome and maintain patency and limb salvage.
Keywords
Hybrid; common femoral; endarterectomy; endovascular
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