Search In this Thesis
   Search In this Thesis  
العنوان
Evaluation of endovascular intervention in treatment of flush superficial femoral artery lesions in chronic lower limb ischemia /
المؤلف
El-Eissawy, Mohamed Ibrahim Adel Ibrahim.
هيئة الاعداد
باحث / محمد ابراهيم عادل ابراهيم العيسوى
مشرف / محمد احمد حسن الهنيدى
مشرف / محمد مرسى الوجيه
مشرف / احمد حسينى البربرى
الموضوع
Surgery.
تاريخ النشر
2019.
عدد الصفحات
199 . :
اللغة
الإنجليزية
الدرجة
الدكتوراه
التخصص
جراحة
تاريخ الإجازة
20/2/2019
مكان الإجازة
جامعة طنطا - كلية الطب - Surgery
الفهرس
Only 14 pages are availabe for public view

from 252

from 252

Abstract

This prospective randomized controlled study was conducted in Vascular Surgery Department, Tanta University, Egypt and Vascular Surgery Department, Leuven University, Belgium during
the period from June 2015 to January 2018.
The study included 53 patients diagnosed to have life style limiting IC or CLI (Fontaine stage IIb, III and IV) with angiographic evidence of chronic flush SFA occlusion, Trans-
Atlantic Inter-Society Consensus (TASC II B, C and D) and at least patent popliteal artery below the knee as an outflow artery with in
adequate G.S.V. (great saphenous vein).They were divided into two
groups. The group (I) (endovascular therapy) included 28 while the group (II) (surgical bypass) included 52patients.
Every patient was carefully assessed through: full history taking, complete general, local examination, laboratory investigation,
duplex scanning and CTA.
The clinical presentation was severe life-style limiting IC in 10
cases (35.7%) in group I and 11 cases (44%) in group II, and CLI in 18 (64.3%) cases in group I and 14 cases (56%) in group II. The clinical presentation had non-significant impact on patency rates.
The most common medical co-morbid conditions were
hypertension followed by hyperlipidemia in both groups. All risk
factors had non-significant impact on patency rates
There were no statistically significant differences between both groups in the baseline patients’ characteristics.