| Autor: |
Shaker, Ahmed A., Othman Hareedy, Ahmed Gaafar, Abdo Alhindawy, Khaled Mohamed, Abdelsamed Hany Abdelmawla Mohamed, Hesham Mostafa, Tawfik, Ahmed Reyad |
| Předmět: |
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| Zdroj: |
Surgical Chronicles; Apr-Jun2023, Vol. 28 Issue 2, p211-217, 7p |
| Abstrakt: |
Introduction: assess the factors helping successful angioplasty of the popliteal artery of patient with critical limb ischemia including popliteal alone or concomitant infra-popliteal disease. Methods: a prospective study of symptomatic patients with popliteal occlusive lesions treated by balloon angioplasty. All patients underwent systematic preoperative and postoperative color duplex scan and preoperative angiography. The principal endpoints were primary and primary assisted patency. Results: 51 patients were included in our study, they had a mean age 60.2 ± 10.2 years old. Males were more prevalent among the included patients 68.7% males versus 31.4% females. Comparison of final amputation outcomes among patients showed that patient with dyslipidemia is more borne to undergo major amputation with p value 0.04, hypertensive patients who are also more commonly underwent major amputation with p value 0.02. Moreover, CKD patients were at higher risk for major amputations with p value 0.0001. Regarding clinical presentation, patients with rest pains didn’t undergo any major or minor amputation with p value 0.005, as well as patients with minor tissue loss with p value 0.0001, on the contrary, patients with major tissue loss were more borne for major amputation with p value 0.0001. Patients with arterial stenosis did not commonly undergo major amputation with p value 0.001, while those with total occlusion were at more risk for major amputation with p value 0.001. Conclusion: Major amputation in patients with critical limb ischemia is significantly associated with dyslipidemia, hypertension and CKD. Total arterial occlusion is significantly associated with need for major amputation. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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