Home Current issue Ahead of print Search About us Editorial board Archives Submit article Instructions Subscribe Contacts Login 
ORIGINAL ARTICLE
Year : 2018  |  Volume : 37  |  Issue : 4  |  Page : 526-532

Below-the-ankle angioplasty: early and mid-term outcome


Department of Vascular Surgery, Faculty of Medicine, Cairo University, Giza, Egypt

Correspondence Address:
Mohammed Ali
Department of Genral Surgery, Faculty of Medicine, Cairo University
Egypt
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ejs.ejs_77_18

Rights and Permissions

Aim The aim of the study was to investigate the clinical effect of additional below-the-ankle angioplasty in patients with critical limb ischemia (CLI) attributed to pedal artery occlusion with insufficient wound blushing after conventional above-the-ankle percutaneous revascularization regarding the wound healing, amputation survival-free rate, limb salvage, and quality of life. Patients and methods This is a prospective observational study conducted over a period of 1 year including 21 patients who underwent below-the-ankle angioplasty. Results A total of 21 patients were included in the study; successful recanalization of the pedal-plantar arch was achieved in 19 (90.5%) patients, and complete wound healing was achieved in all patients. Primary and secondary patency rates after 1 year were 84.2 and 89.4%, respectively. Limb amputation rate at 1 year was 5.3%. Conclusion With the rapid advancement in the endovascular tools and equipment, angioplasty of the pedal arch can be a valuable revascularization strategy for adequate wound healing and limb salvage which in turn add an extra therapeutic option for patients with CLI to avoid major limb amputation.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed45    
    Printed0    
    Emailed0    
    PDF Downloaded11    
    Comments [Add]    

Recommend this journal