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    Ayman Refaat1, Ahmed EL-Marakby, Ahmed Farghaly2, Hossam ELShamaa3, Mohamed Ibrahim4, Mohamed Hamed Salem5
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    Ahmed Gamal Eldin Fouad¹, Ahmed Faraghaly¹, Ahmed Elmarakby¹, Fatma Zeinhom²
  • Catheter-Directed Venous Thrombolysis in Acute Iliofemoral Vein Thrombosis, a Prospective Randomized Controlled Trial
    1Amr Saleh El Bahaey, 2Ahmed Balboula
  • EVAR in Hostile Aortic Neck; indications outside the IFU’s
    Fouad S. Fouad1 and Abdelrahman Mohamed2
  • Clinicopathologic study of Primary Gastric Lymphoma and its Outcome: NCI Experience
    1Mohamed Salama, 1Heba G.M. Mahmoud, 2Marwa Nabil, 1Mohamed Hassan
  • Review of the Surgical Outcome of Locally Advanced Esophageal and Gastroesophageal Junction Cancer after Neoadjuvant Therapy Versus Upfront Surgery: NCI Experience
    1Hebatallah G.M. Mahmoud, 1Mohamed Salama, 1John Wahib, 2Salem Eid, 1Omaya Nassar
  • Stricture after Assisted and Non-Assisted Transanal Pull-through for Classic Hirschsprung’s Disease
    Wael Ahmed Ghanem, Ahmed Bassiouny Radwan
  • Can Distal Abdominal Esophagostomy Replace Gastrostomy in Esophageal Atresia?
    Wael Ghanem
  • Margins in Breast Conserving Surgery: Could We Have Alternatives
    Sherif M. Mokhtar1 , Shady Elghazaly Harb1 , Hossam Hussein2 ,Shady Nabil Mashhour3
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    Salah M. Raslan MD and Hany M. Elbarbary MD, FRCS, FACS
  • Primary Covered Stent For Management Ofinfrarenalaortic and Aortoiliac Occlusive Disease; Pilot Study
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    Hamdy A. Elhady
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    Maged Rihan, MD, MRCS Mohamed M.Raslan ,MD
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  • Angiosome Concept and Impact of a Complete Foot Arch on Endovascular Revascularization of the Foot
    Ahmed Sayed1,2, Hussein Elwan1 , Mostafa Elshal2, Ahmed Taha1,2

    • Angiosome Concept and Impact of a Complete Foot Arch on Endovascular Revascularization of the Foot

    Ahmed Sayed1,2, Hussein Elwan1 , Mostafa Elshal2, Ahmed Taha1,2
    1Vascular Surgery Division, Kasr Alainy Hospital, Cairo University, Cairo, Egypt 2Vascular Surgery Unit, National Institute of Diabetes and Endocrinology, Cairo, Egypt

    Background: The role of the angiosome theory in infrapopliteal disease is controversial. We aimed to study the impact of direct angiosomal revascularization on the outcome in the presence and absence of a complete foot arch. Patients & Methods: We studied consecutive patients presenting with infrapopliteal disease from February 2013 to January 2014, Rutherford categories 5&6, where only one infrapopliteal vessel was successfully revascularized. Patients were classified into the following groups: (i)DF: direct angiosome revascularization with patent foot arch, (ii)DN: direct angiosome revascularization with no foot arch, (iii)IF: indirect angiosome revascularization with patent foot arch, and (iv)IN: indirect angiosome revascularization with no foot arch. The outcome of the the four groups was compared using Chi square test and ANOVA tests. Results: 75 patients presented during the study period; 20 DF, 22 DN, 17 IF, & 16 IN. There were no statistical differences in age, sex, risk factors, run off vessel, or site of tissue loss. Limb salvage rates after 12 months were 95% in DF, 91% in DN, 76.5% in IF, and 44% in IN (p=0.0046). Mean number of days till wound healing was 72.2±16.7 in DF, 122.9±20.6 in DN, 229.4±30.3 in IF, and 308.1±29.6 in IN (p<0.001). Conclusion: Group DF showed significantly better results in limb salvage and wound healing, followed by DN, IF, and lastly IN. A complete foot arch had a significant impact on clinical outcome, in addition to direct angiosomal revascularization. Future studies on the angiosome concept should include the completeness of foot arch as an important factor contributing to healing and limb salvage. Key words: angiosome - infrapopliteal angioplasty - foot arch Presented at the 42nd Veith Symposium, New York, USA, November 2015.

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