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    • Comparative Study Between Territorial and Non-Territorial Infrapopliteal Angioplasty

    Mohamed Sabry, (M.Sc.); Ahmed Samir Hosny, M.D.MRCS (ED); Ahmed El Mahrouky. M.D. MRCS (Eng); Ahmed Gamal. M.D. MRCS (Eng)
    Department of Surgery, Vascular Surgery Unit, Cairo University

    This is case series include a prospective comparative study of 23 patients presented to vascular surgery department in KasrEl-Aini with critical lower limb ischemia for whom PTA was done between February 2012 to December 2012. The patients were divided into two groups (territorial and non territorial .The aim of the study is to assess the effect of territorial and non territorial infrapopliteal angioplasty on ulcer healing in patients complaining from critical limb ischemia .The age varies was 50-70 with mean ±SD (60±4) in territorial group and was 45-74 with mean ±SD (58.8±8.7) in the non-territorial group. The clinical diagnosis and anatomical characteristics of the lesions in theterritorial and non-territorial group were recorded. The Procedural data, patency at 3, 6 months, and limb salvage at 3, 6 months was recorded. Therewas no statistically significantly difference between the two groups. The mortality rate was two cases, one in the first 3month follow up and the other was in the 6 month follow up. Both were in the territorial group. In the territorial group, there were two cases of below knee amputation(BKA),and one case of above knee amputation(AKA)(23%). In the non territorial group there were two case of major amputation, one AKA,and one BKA (20%). Key words: Angioplasty-angiosome-infrapopliteal.

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