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17483

A Study to Assess The Efficacy of Balloon Angioplasty of The femoropopliteal Arteries in The Relief of Critical Limb Ischemia (CLI)

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Last updated: 24 Dec 2024

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Abstract

Purpose: The aim of the study was to evaluate the results of percutaneous transluminal angioplasty (PTA) of femoropopliteal arteries in patients with critical lower limb ischemia; Materials and methods: From June 2006 till May 2008, 40 patients underwent 40 PTA procedures, 18 were of the superficial femoral artery (SFA), 7 of the popliteal artery, 9 of both arteries and 6 of the common femoral artery (CFA). Twenty-nine procedures were performed for treatment of stenoses and 11 for occlusion. The patients were monitored clinically with non-invasive hemodynamic studies. Results: The technical success rate was 97.5%. Overall primary patency rates at 24 months were 67.5%. Primary patency rates in limbs with occlusion were 45.5% compared with 75.9 in limbs with stenoses. Two major amputations were performed. The overall survival rate was 95%. Conclusion: The 2 years results of femoropopliteal PTA performed for treatment of CLI seemed to be near the results of infrainguinal bypass grafting reported in literature. Because PTA does not preclude the performance of future surgery and associated with low morbidity and mortality rates, it should be a first choice treatment for patients with CLI for selected lesions.

DOI

10.21608/ejhm.2009.17483

Authors

First Name

Ehab M.

Last Name

Abdo

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Affiliation

Vascular Surgery Unit, Al-Zhraa University Hospital, Faculty of Medicine, Al-Azhar University, Cairo.

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First Name

Hatem A.

Last Name

Mgahid

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Affiliation

Vascular Surgery Unit, Al-Zhraa University Hospital, Faculty of Medicine, Al-Azhar University, Cairo.

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First Name

Abdel Aziz

Last Name

Abo Elella

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Affiliation

Vascular Surgery Unit, Al-Zhraa University Hospital, Faculty of Medicine, Al-Azhar University, Cairo.

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Volume

37

Article Issue

1

Related Issue

3685

Issue Date

2009-10-01

Receive Date

2018-10-24

Publish Date

2009-10-01

Page Start

726

Page End

732

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_17483.html

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https://ejhm.journals.ekb.eg/service?article_code=17483

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Original Article

Type Code

606

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Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

A Study to Assess The Efficacy of Balloon Angioplasty of The femoropopliteal Arteries in The Relief of Critical Limb Ischemia (CLI)

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Article

Created At

22 Jan 2023