INFRAINGUINAL ENDOVASCULAR THERAPY AS THE PRIMARY APPROACH IN PATIENTS WITH CRITICAL LIMB ISCHEMIA COMPARED WITH SURGICAL APPROACH

Abstract

Critical lower limb ischemia becomes wide spread in the last time and represented by the occurrence of continuous pain in the foot not related to any effort and foot ulcers or gangrene. One of the most important pictures of the disease that require rapid intervention for the improvement of blood flow to the lower limb, that leads after that to improve the survival rate of the patient. The treatment of critical lower limb ischemia is by surgical bypass grafting or by endovascular treatment with balloon angioplasty. Percutaneous balloon angioplasty improves outcomes in CLI and has increasingly become the first-line of treatment in critical lower limb ischemia compared with surgical bypass grafting. One of the most important causes of critical lower limb ischemia is atherosclerosis. Critical lower limb ischemia is a multilevel disease and associated with other diseases with decreased life expectancy of the patient. The care of the patients with CLI is not straight forward because many of them have significant co-morbidities including renal disease and advanced age that further contribute to the overall morbidity, mortality, dependency and poor life satisfaction. Percutaneous balloon angioplasty improves outcomes in CL