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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
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ejs.ejs_77_18

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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.

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