The outcome of a combination of superficial femoral artery angioplasty with infragenicular angioplasty in the treatment of critical lower limb ischemia
Joint Authors
Uwaydah, Ashraf
Jamil, Abd al-Rahman M.
al-Shimi, Wail
Afat, Muhammad
Surur, Walid A.
Samir, Ayman
Salim, Ayman
Source
Journal of the Arab Society for Medical Research
Issue
Vol. 9, Issue 1 (30 Jun. 2014), pp.23-27, 5 p.
Publisher
Arab Society for Medical Research
Publication Date
2014-06-30
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Topics
Abstract EN
Background / aim As endovascular disease with signifi cant femoropopliteal or infragenicular arterial lesions largely affects the outcome in critical limb ischemia (CLI), the aim of this study is to examine the impact of dealing with distal outfl ow infragenicular arterial lesions on the outcome of CLI in terms of patency and limb salvage rates.
Patients and methods A prospective study was carried out of all endovascular interventions performed for patients with CLI encountering femoropopliteal and tibial arterial lesions between February 2012 and January 2014 ; the patients were randomly divided into two groups.
The first group included patients who received a concomitant tibial intervention and the second group included those who received femoropopliteal interventions alone.
The duration of follow-up was 12 months, which was within the period of this study.
Results Endovascular procedures were used to treat 54 patients with a runoff score of greater than 10.
The first group included 29 patients and the second group included 25 patients with CLI.
Primary success reached 89.6% in the first group and 96 % in the second group.
Primary patency rates at 12 months were 59 and 51 % in both groups, respectively, whereas secondary patency rates at 12 months were 70 and 52 % in both groups, respectively, with no statistically signifi cant difference.
The limb salvage rate over 12 months was better in the first group (83 %) than in the second group (76 %).
Conclusion Although simultaneous superficial femoral artery with tibial angioplasty did not yield a signifi cant increase in patency rates, the better limb salvage rates make interventional treatment for infragenicular arteries a key part of the vascular specialist armamentarium when treating CLI.
American Psychological Association (APA)
al-Shimi, Wail& Jamil, Abd al-Rahman M.& Uwaydah, Ashraf& Afat, Muhammad& Surur, Walid A.& Samir, Ayman…[et al.]. 2014. The outcome of a combination of superficial femoral artery angioplasty with infragenicular angioplasty in the treatment of critical lower limb ischemia. Journal of the Arab Society for Medical Research،Vol. 9, no. 1, pp.23-27.
https://search.emarefa.net/detail/BIM-393864
Modern Language Association (MLA)
al-Shimi, Wail…[et al.]. The outcome of a combination of superficial femoral artery angioplasty with infragenicular angioplasty in the treatment of critical lower limb ischemia. Journal of the Arab Society for Medical Research Vol. 9, no. 1 (2014), pp.23-27.
https://search.emarefa.net/detail/BIM-393864
American Medical Association (AMA)
al-Shimi, Wail& Jamil, Abd al-Rahman M.& Uwaydah, Ashraf& Afat, Muhammad& Surur, Walid A.& Samir, Ayman…[et al.]. The outcome of a combination of superficial femoral artery angioplasty with infragenicular angioplasty in the treatment of critical lower limb ischemia. Journal of the Arab Society for Medical Research. 2014. Vol. 9, no. 1, pp.23-27.
https://search.emarefa.net/detail/BIM-393864
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 27
Record ID
BIM-393864