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العنوان
Tibial arterial revascularization with incomplete pedal arch or indirect tissue perfusion and its outcome on limb salvage and wound healing :
الناشر
Bassem Ahmed Hussien Selim ,
المؤلف
Bassem Ahmed Hussien Selim
هيئة الاعداد
باحث / Bassem Ahmed Hussien Selim
مشرف / Hassan Ahmed Soliman
مشرف / Omar Ahmed Elkashef
مشرف / Ahmed Mohsen Elmahrouky
تاريخ النشر
2016
عدد الصفحات
139 P. :
اللغة
الفرنسية
الدرجة
ماجستير
التخصص
جراحة
تاريخ الإجازة
2/4/2017
مكان الإجازة
جامعة القاهرة - كلية الطب - General Surgery
الفهرس
Only 14 pages are availabe for public view

from 154

from 154

Abstract

Prospective observational study on patients with CLI presenting to the national Institute of diabetes and endocrinology (NIDE). To evaluate the clinical outcome of indirect flow to the foot lesions through indirect revascularization (according to the angiosome principle) following percutaneous transluminal angioplasty of below the knee atherosclerotic lesions. 23 patients (CLI 100%) underwent below knee PTA with indirect revascularization of ischemic tissues according to the angiosome concept with/without a complete pedal plantar arch. The end-point of interest at the end of follow up was limb preservance and amputation free survival as well as the healing progression in the wounds. Successful limb salvage with progressive wound healing was seen in 82.6% in indirectly revascularized limbs. Non-Angiosome based strategies in BTK revascularizations seem to provide acceptable limb preservation rates and encouraging wound healing rates. In addition; whenever possible a patent pedal arch is important to improve the outcome of the IR