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    • The Predictors of Success and Effectiveness of Tibial Angioplasty in Patients with Critical Limb Ischemia

    Hossam Elmahdy, M.D, Walied Eldaly, M.D, Baker Ghoneim, M.D
    Vascular Surgery Unit, Kasr Alainy Faculty of Medicine, Cairo University

    Patients and Methods: This study includes 46 patients with CLI were admitted to the Department of Vascular Surgery, in our institute between June 2014 and March 2016and assessed for peripheral endovascular procedures. Results: A total of 46 limbs underwent tibial artery endovascular interventions. The mean age was 53-77years.A total of 14 patients with TASC C (stenoses 1-4 cm, occlusions 1-2 cm, and extensive stenoses at the tibial trifurcation) and 32 patients with TASC D (occlusions >2 cm and diffuse tibial vessel disease) . The primary patency rate was at 1 year45.65%. .The limb salvage rate 73.91% at 1 year follow up. The amputation rate at 1 year was 26%. predictors of limb loss at 1 year included chronic renal insufficiency (58.33%, P<0.02)and absence of plantar foot arch(66.6%,p<0.04),single peroneal intervention(3 cases). Conclusion: TAEI is safe, effective in treatment of BK disease in the vascular specialist armamentarium. It leads to limb salvage with low morbidity and mortality in patients with CLI and should be used as a first line treatment in the majority of patients, especially in those with significant multi co morbidities. However, differences in outcome between the available technologies are still not proven concerning the long term patency. 

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