OUTCOME ANALYSIS FOLLOWING TIBIAL ANGIOPLASTY IN PATIENTS WITH CRITICAL LIMB ISCHEMIA- A SINGLE CENTRE EXPERIENCEJournal: International Journal of Advanced Research (Vol.6, No. 9)
Publication Date: 2018-09-08
Authors : M. Bakthavatchalam MCh Sasikumar Krishnan MS MCh; Deepak George John.;
Page : 843-849
Keywords : Critical limb ischemia infra popliteal angioplasty;
Background:Peripheral arterial occlusive disease (PAD) affects a major proportion of our elderly population and is a main cause for limb loss and morbidity. PAD can be managed by conservative, surgical and endovascular methods. Percutaneous transluminal angioplasty with or without stenting has become a recognized method, which is increasingly used in treatment of arterial occlusive disease. Aim:Our study aimed to analyse the outcome following endovascular intervention in patints with infrapopliteal lesions. Methods: The study included 29 patients (21 men and 8 females; mean age 62 years, range 38?84) with CLI (class 4 to 6 according to Rutherford). The primary study endpoints were wound healing, preventing major amputation and relief of rest pain. Results:Major amputation was avoided in 26 patients, 21 patients(72%) were relieved of rest pain. In 3 patients procedure was converted to open bypass. There were no cases of systemic complications and death during the follow-up period. Primary patency at 1 month was 72% and at 6 months 48%. Conclusion:Our data showed that endovascular intervention of infrapopliteal disease is an effective and safe treatment in patients with CLI, especially in those who are not fit for an open procedure.
Other Latest Articles
Last modified: 2018-10-19 17:36:28