Background: To evaluate the management procedures during Percutaneous transluminal angioplasty of lower limb ischemia
Patient and Methods:   Sixty five patients with manifestations of lower limb ischemia underwent for percutaneous transluminaitical situations during endovascular interventions affected by risk factors, clinical presentation, morphological ll angioplasty and had developed critical situations during the procedure. In the vascular surgery departments in Al-hussein university hospital and Agouza police from march 2018 to march 2020.
Results: 65 patients had developed 67 complications ; Dissection 35 (53.8%), Perforation 20 (30.8%), Thrombosis 6 (9.2%), 4 (6.2%) cases with Arteriovenous fistula and 2 (3.1) cases of residual stenosis. Two cases developed more than one type of complications during intervention)Dissection and perforation). Most of cases were managed endovascular 61 (93.8%) but 4(6.2%) cases managed by surgical methods. 63 (96.6%) cases had saved their limbs and avoided major amputations and two cases were gone for major amputations. There was no immediate mortality.
Conclusion: cresion and type of intervention. Most of cases could be managed by endovascular procedures.