Search In this Thesis
   Search In this Thesis  
العنوان
Outcomes of Tibial Balloon Angioplasty in Patients with Single Tibial Runoff on Wound Healing/
الناشر
Ain Shams University.
المؤلف
Ammar,Mohamed Ramadan .
هيئة الاعداد
باحث / محمد رمضان عمار
مشرف / محمود زكريا الجنزورى
مشرف / عاطف عبدالحميد دسوقى
مشرف / خالد عبدالستار الديب
تاريخ النشر
2021
عدد الصفحات
169.p;
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
جراحة
تاريخ الإجازة
1/10/2021
مكان الإجازة
جامعة عين شمس - كلية الطب - General Surgery
الفهرس
Only 14 pages are availabe for public view

from 171

from 171

Abstract

Background: The lower extremity peripheral artery disease (PAD) is between 3 and 12 percent, and If PAD left untreated, can lead to loss of the limb and in severe cases, death. Each year, there are 500 to 1000 new cases of chronic limb-threatening ischemia (CLTI) per million population with an estimated annual cost to the UK National Health Service (NHS) of more than GBP 200 million.
Aim of the work: The aim of this study is to assess the outcome of tibial balloon angioplasty in patients with single tibial runoff by the impact of technical success in the form of single patent tibial vessel continuous with pedal arch and clinical success by wound healing.
Patients and Methods: This a prospective observational cohort study which was done to is to assess the outcome of tibial balloon angioplasty in patients with single tibial runoff by the impact of technical success in the form of single patent tibial vessel continuous with pedal arch and clinical success by wound healing in 40 patients with CLTI due to infrapopliteal disease. Our study included forty patients who visit out patient clinic or emergency room and scheduled for angioplasty. Then their wound healing rate was followed up for 6 months after the procedure.
Results: The mean of age was 62.55 ± 7.31 years. 17 patients (42.5%) were male while 23 patients (57.5%) were female. Regarding the past medical history; current Smoking was found in 30 patients (75%). Diabetes mellitus was found in 28 patients (70.0%). hypertension was found in 32 patients (80.0%). Cardiac diseases were found in 24 patients (60%).
Conclusion: This is a prospective observational cohort study to assess the outcome of tibial balloon angioplasty in patients with single tibial runoff by the impact of technical success in the form of single patent tibial vessel continuous with pedal arch and clinical success by wound healing. Our study proved that single tibial angioplasty has effective role in improving the foot wound healing, shortening its duration in the chronic threatening limb ischemia patients, improving limb salvage and quality of life.