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    • The effect ofiliac angioplasty - as a single level correction in patients with multilevelarterialdisease–onimprovingthepatien

    Mohamed Abd El-Monem Abd El-Salam Rizk, MD, Mohamed Ismail Mohamed Ismail, MD, Ramez Mounir Wahba , MD
    Department of Vascular Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt

    Aim: The purpose of this study was to review the effect of iliac angioplasty alone on improving the patient’s complaint in those who have multi-segmental arterial disease not affecting the common femoral and profunda femoris vessels. Patients and Methods: Between July 2013, and January 2018, 66 patients having multi-level arterial disease were treated by iliac angioplasty alone as a single level correction they were followed up for 6 months to identify patients who needed further intervention to improve their condition. Results: Data was obtained for 66 patientswho underwent hybrid procedures during the study period. Technical success was achieved in 95.5% (63 patients). Clinical success, according to the American Heart Association (AHA) classification at 1 month showed, 80.95% (51 patients) improved with different grades, while 19.05% (12 patients) needed further intervention either due to no change in their condition or it got worse after iliac angioplasty alone.Itwas also found that 100% of patients having intermittent claudication (Rutherford category 2,3) improved by iliac angioplasty alone without further intervention, 90% of patients having rest pain also improved by iliac angioplasty alone, 40% of patients having minor tissue loss (Rutherford category 5)did not need any further management, while 100% of patients having major tissue loss (Rutherford category 6) needed further management.During followup at3months another 10%ofpatients having minortissueloss(Rutherfordcategory5) needed furtherintervention. At 6 months at total of 79.4% of patients were still improving by iliac angioplasty alone without further intervention. Conclusion: Iliac angioplasty in patients having multi-level arterial disease can be done alone without total correction especially in patients complaining of intermittent claudication orrestpainwhile patients having major tissue lossit is betterto be done as a part of a plan fortotal correction. Keywords: iliac angioplasty; multi-level arterial disease. 

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