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.
Ali, M., Zaghloul, H., & El Mahdy, H. (2018). Below-the-ankle angioplasty: early and mid-term outcome. The Egyptian Journal of Surgery, 37(4), -. doi: 10.4103/ejs.ejs_77_18
MLA
Mohammed Ali; Hossam Zaghloul; Hossam El Mahdy. "Below-the-ankle angioplasty: early and mid-term outcome", The Egyptian Journal of Surgery, 37, 4, 2018, -. doi: 10.4103/ejs.ejs_77_18
HARVARD
Ali, M., Zaghloul, H., El Mahdy, H. (2018). 'Below-the-ankle angioplasty: early and mid-term outcome', The Egyptian Journal of Surgery, 37(4), pp. -. doi: 10.4103/ejs.ejs_77_18
VANCOUVER
Ali, M., Zaghloul, H., El Mahdy, H. Below-the-ankle angioplasty: early and mid-term outcome. The Egyptian Journal of Surgery, 2018; 37(4): -. doi: 10.4103/ejs.ejs_77_18
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