Article Type
Original Study
Subject Area
Vascular surgery
Abstract
Background: Chronic limb-threatening ischemia (CLTI) presents a significant health concern, particularly among patients with blockages in the lower leg arteries. Objectives: This prospective investigation aimed to evaluate the results of revascularization in CLTI patients, with particular attention to the peroneal artery as the preferred target vessel for limb salvage.
Materials and Methods: 50 CLTI patients were enrolled in the study and underwent thorough clinical evaluation, laboratory tests, and duplex scanning at regular intervals. Revascularization procedures, primarily using the antegrade femoral approach on the same side as the affected limb, involved balloon angioplasty. Postoperative outcomes were assessed based on the rates of sustained vessel openness, limb preservation, and major amputation.
Results: The study population had a high prevalence of smoking (68%), diabetes (88%), and other health conditions. Nearly all lesions were classified as TASC type D (98%). Successful recanalization of the peroneal artery was achieved in all cases, with favorable postoperative results observed in 86% of patients at the 18-month follow-up.
Conclusions: This study underscores the effectiveness of revascularizing the peroneal artery in CLTI patients, demonstrating positive outcomes concerning limb preservation and vessel patency rates.
IRB Number
HSH00057
Keywords
Ipsilateral Antegrade Femoral Approach, Chronic Limb-Threatening Ischemia, Limb Salvage, Peroneal Artery, Revascularization
Recommended Citation
Elbahat, Mohamed Abdelsamie Abdelkhalek and AlMoslemany, Mohamed Atef
(2024)
"Peroneal artery angioplasty as an alternative for limb salvage in patients with critical threatening limb ischemia,"
Journal of Medicine in Scientific Research: Vol. 7:
Iss.
4, Article 4.
DOI: https://doi.org/10.59299/2537-0928.1404
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