Infragenicular Percutaneous Transluminal Angioplasty in Critical Limb Ischaemia

Nehad Abdou Ahmed Zaid;

Abstract


Peripheral percutaneous transluminal angioplasty may restore sufficient distal blood flow for ulcer healing in selected patients with severe multi-segmental vessel lesions. PTA can also be used in combination with surgery to reduce the length of a bypass and to avoid a composite bypass.

Between June, 2003 and December, 2005, a total of 43 patients (24males and 19 females) underwent percutaneous transluminal angioplasty (PTA) for treatment of an occlusive arterial disease below the knee with critical lower limb ischaemia. The patients were selected according to inclusion criteria and classified in accordance to Fontaine classification.

Aortography was performed in all patients to quantifY the extent of disease in below-knee arteries. A total of 61 stenoses were visualized and
43 PTA procedures were performed for treatment of these 61 lesions.


The assessment of technique was based on patients' clinical observation and necessary tests (ABPI measurement, duplex and angiographic evaluation).

Technical success (resulting in less than 50 % residual stenosis) after dilatation is achieved in 37143 patients and failure in 6/43 patients.


Other data

Title Infragenicular Percutaneous Transluminal Angioplasty in Critical Limb Ischaemia
Other Titles دراسة عن إمكانية إجراء توسيع الأوعية الدموية تحت الركبة عن طريق البالون والدعامات الداخلية من خلال الجدار الوعائى فى مرضى قصور الدورة الدموية
Authors Nehad Abdou Ahmed Zaid
Issue Date 2006

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