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Corresponding Author

Mohamed Mosaad Mahmoud Khalil

Document Type

Original Article

Abstract

Background: The most severe form of peripheral artery occlusive disease is critical limb ischemia. The diagnosis is poor, with death after one year reaching 25% and amputation rates reaching 30%.

Objective: To investigate the early results of single infragenicular tibial angioplasty in patients with critical limb ischemia (CLI).

Patients and methods: A prospective randomized clinical trial was performed in the Vascular Surgery Department of the Mostafa Kamel Military Hospital and the Al-Azhar University Hospitals. The study is conducted on 30 patients complaining of critical lower limb ischemia.

Results: Thirty patients with critical limb ischemia due to tibial disease were included. The patients' average length of stay in the hospital was 3 ± 1 day. In 4 cases (13%), there were no complications during the follow-up period. Restenosis was discovered in 3 individuals (10%), whereas thrombosis was found in 1 (3%). Follow-up revealed that 18 cases (60%) had fully healed their wounds, while 6 (20%) had incomplete healing.

Conclusion: One accepted endpoint of infrapopliteal PVI for patients with CLI was the achievement of the inflow of a single vessel into the wound..

Keywords

Angioplasty; Single tibial artery; Critical limb ischemia

Subject Area

General Surgery

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