Bypass Versus Percutaneous Transluminal Angioplasty of Total SFA Occlusive Disease
Mahmoud Mohamed Taha;
Abstract
SUMMARY
C
ritical limb ischemia (CLI) is clinically defined as persistent, recurring ischemic rest pain that persists for at least 2 weeks, ulceration or gangrene of the foot or toes, and is commonly associated with ankle systolic pressure less than 50 mmHg or toe systolic pressures less than 30 mmHg.
Bypass surgery has traditionally been considered an approach of choice to revascularizeischemic limbs with rest pain, non-healingulcers, or gangrene to avoid major amputation.
Transluminal angioplasty, in which the area of occlusion is expanded by a balloon inserted within the artery, is an important treatment forpatients with more severe symptoms (short distanceclaudication, rest pain, ulcers, and gangrene).
Patients with CLI who were treated successfully with surgical or endovascular revascularization had better quality of life and longer survival than those treated conservatively or with primaryamputation.
However, the CLI patients often have cardiovascular, diabetes or other co-morbidities, which are associated with increased perioperative and postoperative mortality.
C
ritical limb ischemia (CLI) is clinically defined as persistent, recurring ischemic rest pain that persists for at least 2 weeks, ulceration or gangrene of the foot or toes, and is commonly associated with ankle systolic pressure less than 50 mmHg or toe systolic pressures less than 30 mmHg.
Bypass surgery has traditionally been considered an approach of choice to revascularizeischemic limbs with rest pain, non-healingulcers, or gangrene to avoid major amputation.
Transluminal angioplasty, in which the area of occlusion is expanded by a balloon inserted within the artery, is an important treatment forpatients with more severe symptoms (short distanceclaudication, rest pain, ulcers, and gangrene).
Patients with CLI who were treated successfully with surgical or endovascular revascularization had better quality of life and longer survival than those treated conservatively or with primaryamputation.
However, the CLI patients often have cardiovascular, diabetes or other co-morbidities, which are associated with increased perioperative and postoperative mortality.
Other data
| Title | Bypass Versus Percutaneous Transluminal Angioplasty of Total SFA Occlusive Disease | Other Titles | مقارنة التوصيل الجراحى بالتوسيع بالقسطرة التداخلية لعلاج الانسداد الكلى للشريان الفخدى السطحى | Authors | Mahmoud Mohamed Taha | Issue Date | 2017 |
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