Hany Balamoun FRCS MD , Karim G. Moustafa MD , Ahmed Abd Al Aziz MD and Mahmoud A. Ameen MD
Hany M.S. Mikhail MD, Abdrabou N. Mashhour MD
Ahmed Sayed1,2, Hussein Elwan1 , Walied Eldaly1 , Baker Ghonem1 , Morad Elkholy2 , Mohamed Ragab2 , Marwan Yousry1
Mohamed El-Maaddawy, Amr Abdulbaky, Usama Lotfi
Ayman M.A. Osman1 MD, MRCS (Eng), Ayman Salah Helmy1 MD, Hesham Abu Eisha1 MD, Wael L. Tobar1 MD, Abdel Kareem M. Abdel Kareem1 MB;BCh.
Amr Abdulbaky, Ahmed Elmahrouky, Hossam Anas, Hasan Soliman
Mahmoud Saber *, Wessam Wahdan**
Hany A. Balamoun MD, FRCS1 , Hany M S Mikhail MD, FRCS1 , Bahaa Meleka MD2
Ahmed Farghaly, Ahmed Marakby, Fouad Saad Eldin.
Dina Hany1,*, MD, Wafi Fouad2,*, MD, and Ramy Mikhael Nageeb1,*, MD
Tarek Ftohy Abdelrahman1 , Ahmed Gaber Hassanein1 , Mohammed Hasan Osman 2
Rasha Abdelkader, Sameh Nomani
Ahmed Nabil 1 and Rasha Abdelkader2
Fady Magdy Yacoub, MD, Khaled Sadek, MD, MRCS
Does the Midterm Outcome of the Redo Endovascular Intervention Provide Satisfactory Results?
The aim of the study was to demonstrate the feasibility and midterm patency of redo endovascular
procedures for recurring symptomatic ischemia after previously successful endovascular revascularization.
This is a case series study done among patients admitted in kasr AlAini teaching hospital in the period
between August 2013 till May 2014, presenting with recurrent chronic ischemia after previously successful
endovascular procedure. Patient demographics, indications for intervention, technique, patency and limb
salvage and complications were recorded and analyzed. Results have shown that the mean age was 65
years and most of the cases were claudicants (50%) and having rest pain (45%).Technical success was
90% and limb salvage rate was 93.75% at 6 months although patency was 56.25%. Complications
occurred in 6 cases. Redo endovascular intervention is an acceptable option for patients with critical limb
ischemia (CLI) with multiple morbidities, short life expectancy and it can be repeated safely. But not
recommended for young fit patients with intermittent claudication due to its very short midterm result, as
durability of reintervention is further compromised and bypass for young fit patient with adequate single
segment great saphenous vein (GSV) is better.