Document Type
Original Article
Abstract
Background: Ischemic limb discomfort or amputation may be the result of critical limb ischemia (CLI), which is caused by a reduction in blood flow to the limb. The lack of sufficient blood flow to oxygenate the leg that results from peripheral arterial occlusive disease. PAD's "end stage" is CLI.
Objectives: To identify the role of peroneal artery angioplasty as a single runoff vessel in the salvage of lower limb of persons with critical limb ischemia, and to avoid major amputations in these patients.
Patients & methods: Forty participants took part in this prospective trial that was presented to the Vascular and Endovascular Department in Al-Azhar University Hospitals and Kobri Elkobba Military Hospital with critical lower limb ischemia with peroneal artery as the best target vessel for revascularization between January 2021and December 2022.
Results: In this study the overall limb salvage rate was 70% at 18 months follow up, 12 patients (30% cases) had major amputation, out of them 8 cases had AKA and 4 cases had BKA.
Conclusion: When compared with open lower extremity revascularization, endovascular revascularization is less invasive & causes less morbidity; as a result, it has been increasingly used to treat more complex lesions among individuals who regularly present with progressing disease. Endovascular revascularization has also become increasingly popular. The peroneal artery was evaluated as a single-vessel runoff & demonstrated satisfactory long-term patency as well limb salvage rates.
Keywords
Peroneal artery angioplasty; Limb salvage; Limb ischemia
Subject Area
Cardiovascular
How to Cite This Article
Rahman, Mohamed Abd El Hamid Abd El; Fattah, Hany Abd El Moamen Abd El; and Zamzam, Lotfy Elsayed
(2023)
"Role of solitary peroneal artery angioplasty for lower limb salvage in patients with critical limb ischemia,"
Al-Azhar International Medical Journal: Vol. 4:
Iss.
12, Article 16.
DOI: https://doi.org/10.58675/2682-339X.2141
