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Document Type

Original Article

Abstract

Background: An ankle-brachial index is used to identify peripheral artery occlusive disease (PAOD), which is characterized by diminished arterial blood flow to the lower extremities as a result of atherosclerotic arterial lesions. Aim and objectives: The goal of this research was to compare and contrast the use of self-expanding vs balloon-expandable stents in the management of iliac artery occlusive diseases. Patients and methods: In the time starting at February 2020, this randomized controlled clinical research was carried out in the vascular surgery department at Al-Azhar university hospitals. The study includes 30 patients (15 patient for Self-Expanding stents &15 patient for Balloon-Expandable Stents) suffering from Iliac artery occlusive disease. Result; We achieved a limb salvage rate of 70% (21 patients). With 10 patients (66.6%) in group A and 11 patients (73.3%) for group B and a major amputation rate of 26.7% (13 patients) over 1-year follow-up period. Conclusion: We conclude that in the presence of CLI, balloon-expandable stents are a safe and efficient therapeutic option for iliac artery occlusive disease. Stent patency rates, limb salvage, and postoperative mortality are all improving. Correcting merely the proximal lesions is not sufficient, particularly in patients who have tissue loss, since this is often accompanied by poor patency rates and low total limb salvage rates.

Keywords

Iliac Artery Treatment; Self-Expanding; Balloon-Expandable Stents; Occlusive Disease.

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