OUTCOME ANALYSIS FOLLOWING TIBIAL ANGIOPLASTY IN PATIENTS WITH CRITICAL LIMB ISCHEMIA- A SINGLE CENTRE EXPERIENCE.
- Professor, Department of Vascular Surgery, TNGMSSH, Chennai-02,
- Assistant Professor, Department of Vascular Surgery, TNGMSSH, Chennai-02,
- Resident , Institute of Vascular Surgery, MMC, RGGGH, Chennai-03.
- Abstract
- Keywords
- References
- Cite This Article as
- Corresponding Author
Background:Peripheral arterial occlusive disease (PAD) affects a major proportion of our elderly population and is a main cause for limb loss and morbidity. PAD can be managed by conservative, surgical and endovascular methods. Percutaneous transluminal angioplasty with or without stenting has become a recognized method, which is increasingly used in treatment of arterial occlusive disease. Aim:Our study aimed to analyse the outcome following endovascular intervention in patints with infrapopliteal lesions. Methods: The study included 29 patients (21 men and 8 females; mean age 62 years, range 38?84) with CLI (class 4 to 6 according to Rutherford). The primary study endpoints were wound healing, preventing major amputation and relief of rest pain. Results:Major amputation was avoided in 26 patients, 21 patients(72%) were relieved of rest pain. In 3 patients procedure was converted to open bypass. There were no cases of systemic complications and death during the follow-up period. Primary patency at 1 month was 72% and at 6 months 48%. Conclusion:Our data showed that endovascular intervention of infrapopliteal disease is an effective and safe treatment in patients with CLI, especially in those who are not fit for an open procedure.
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[M. Bakthavatchalam, MS., MCh, Sasikumar Krishnan, MS, MCh,and Deepak George John. (2018); OUTCOME ANALYSIS FOLLOWING TIBIAL ANGIOPLASTY IN PATIENTS WITH CRITICAL LIMB ISCHEMIA- A SINGLE CENTRE EXPERIENCE. Int. J. of Adv. Res. 6 (Sep). 843-849] (ISSN 2320-5407). www.journalijar.com
Tamil Nadu Government Multispeciality Hospital
