• A Comparative Study Between the Use of Prolene Mesh and Conventional Muscle Plication for Correction of Musculoaponeurotic Laxity in Abdominoplasty
    Mohamed Farouk, M.D.* and Wael Naeem Thabet Aziz, M.D.**
  • Facial Lipoifilling for the Treatment of Facial Asymmetry Following Permanent Synthetic Filler Morbidity
    Mohamed Farouk, M.d.* and Wael Naeem Thabet Aziz, M.D.**
  • Postoperative Complications
    Haitham Akram Saimeh
  • Rectal Cancer
    Haitham Akram Saimeh
  • The Role of Laparoscopy in Management of Complications Related to the Peritoneal Segment of Ventriculo-Peritoneal Shunts: Feasibility for Salvage
    Mohamed Hamed Abouelfadl, MD. (1), Mahmoud M. Marei, MD. (1), Moutaz Ragab, MD(1), Ahmed Arafa Elsayed Rawash, MD. (1), Wesam Mohamed Mahmoud, MD. (1), Siham Anwer Imam, MD.(1&2), Ahmed Abdelhaseeb Youssef, MD(3), Tamer Yassin Mohamed Yassin, MD. (1)
  • Autologous Platelet Rich Plasma Versus Vacuum Assisted Closure Therapy in management of chronic leg ulcers
    Ashraf Kamal Abdalla, M.D. * ; Amr Mohamed EL Hefny, M.D.* ; Khaled Ahmed Reyad, M.D.** ; Noura Omar Mohamed, M.B.B.CH. **;
  • The Added Value of Concomitant Laparoscopic Cholecystectomy and Sleeve Gastrectomy in Morbidly Obese Patients with Gall Stone Disease (A prospective Single Arm Study)
    Sherif M. Mokhtar, Hasan Abouelnaga, Wael Lolah, Salma Dowara, Emad Khallaf
  • Pulmonary War Injury in Yemen
    Ali Mohamed. A. Saleh , M.D ,CAIRO *, Arafat Ali Mohammed Al-absi , M.B.B.Ch
  • Efficacy of the Management of Node Negative Early Stage Breast Cancer Using 1% Methylene Blue in Sentinel Lymph Node Biopsy:prospective study, kasrAlaini University Hospital
    Sherif M. Mokhtar, HasanAbouelnaga, Wael Lolah, Salma Dowara, Emad Khallaf
  • The Added Value of Concomitant Laparoscopic Cholecystectomy and Sleeve Gastrectomy in Morbidly Obese Patients with Gall Stone Disease (A prospective Single Arm Study)
    Ahmed Maher AbdElmonim, RehamEltatawy, Ayman S. El-Din Helmy, Mohamed Hassan Ali Fahmy, Mohammed Elshal
  • Serum leptin level among Upper Egypt patients with gastroesophageal reflux disease
    Ahmed Qasem Mohamed,1 Essam Eldeen M.O. Mahran2
  • Effect of alveolar bone recontouring of mandibular atrophied ridge on clinical and radiographic outcomes of implants supporting All on 4 fixed restorations. A two- years clinical trial
    Hosam El Dein Said Hesain
  • Can intraoperative parathyroid hormone (IOPTH) assay replace combined IOPTH and frozen section in Parathyroidectomy for 1ry hyperparathyroidism: A comparative study?
    Ramy Mikhael Nageeb,1 Hatem ElGohary, MD;2 Mohamed Gamal, MD3
  • Validity and accuracy of scoring system of Randhawa and pujahari for prediction of difficult laparoscopic choleystectomy in Egyptian population
    Mohamed Saber Mostafa, Mohamed Elsayed Elshaaer, Aly Elshehry
  • Observational analysis of Endovascular complications of superficial femoral artery diseases (Prospective Study)
    Ahmed Samir Hosny, MD; El-Sayed A. Abd El-Mabood, MD; Amro Abdel Reheem, MD

    • Observational analysis of Endovascular complications of superficial femoral artery diseases (Prospective Study)

    Ahmed Samir Hosny, MD; El-Sayed A. Abd El-Mabood, MD; Amro Abdel Reheem, MD
    Ahmed Samir Hosny, MD;1 El-Sayed A. Abd El-Mabood, MD;2,3 Amro Abdel Reheem, MD1 1Vascular unit, Departments of General Surgery, Cairo University, Egypt. 2Vascular unit, Departments of General Surgery, Benha University, Egypt. 3Department of Vascular Surgery, Benha Insurance Hospitals, Egypt.

    Purposes: For observing the most common obstacles or complications that were in need for immediate intervention during endovascular treatment of superficial femoral artery diseases, and how to deal with.

    Background: Endovascular intervention of superficial femoral artery (SFA) diseases has been introduced new types of complications. Rapid identification of complications allows rapid remediation and improving outcomes. Patients and methods: This is a retrospective observational cohort study that was conducted over a period of 4 years on complicated 120 patients of femoral artery disease that underwent immediate endovascular intervention. Patients were classified according to type of SFA lesions(stenosis , occlusion, aneurysm) and anatomical segment of SFA involved ( either proximal, or distal ),association with popliteal and tibial arteries diseases). Results: Distal SFA lesions are more than twice encountered than proximal SFA lesions. The proximal SFA failed endovascular management is more common than the distal SFA. The proximal SFA lesions are less likely to be dealt with endovascular in comparison to the distal SFA lesions P-value; 0.03. The common complications are the flow limiting dissections(26.8%), thrombosis(24.7%) ,and residual stenosis > 30( 19.4%).Complications that was in need for immediate intervention were reported as 1% to 27%. Emergency surgery was used for complicated proximal SFA and in failed endovascular intervention for the distal segment complications; P-value; 0.01. Technical success was reported in 96.6% after endovascular intervention & 61.5% after Surgical treatment; P-value; 0.04. Conclusion: Complications of endovascular intervention of SFA may have devastating outcomes that can threaten limb and life. The proximal SFA failed endovascular management is more common than the distal SFA. The proximal SFA lesions are less likely to be dealt with endovascular in comparison to the distal SFA lesions Adequate awareness of these complications, how frequent it affects the proximal and distal SFA lesions, will allow achieving excellent technical ,and clinical outcomes. New endovascular technologies can improve the safety and efficacy of revascularization procedures.

    Key words: Endovascular intervention, SFA Disease, Complications.

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