Abdelhafez, A., Elhayeg, O., Abdel fatah, H. (2019). Randomized Comparative Study between Direct and Indirect Tibial Revascularization in Management of Critical Limb Ischemia. The Egyptian Journal of Hospital Medicine, 76(7), 4639-4642. doi: 10.21608/ejhm.2019.45652
Abdelaziz Ahmed Abdelhafez; Omar Mokhtar Elhayeg; Hany Abd Elmomen Abdel fatah. "Randomized Comparative Study between Direct and Indirect Tibial Revascularization in Management of Critical Limb Ischemia". The Egyptian Journal of Hospital Medicine, 76, 7, 2019, 4639-4642. doi: 10.21608/ejhm.2019.45652
Abdelhafez, A., Elhayeg, O., Abdel fatah, H. (2019). 'Randomized Comparative Study between Direct and Indirect Tibial Revascularization in Management of Critical Limb Ischemia', The Egyptian Journal of Hospital Medicine, 76(7), pp. 4639-4642. doi: 10.21608/ejhm.2019.45652
Abdelhafez, A., Elhayeg, O., Abdel fatah, H. Randomized Comparative Study between Direct and Indirect Tibial Revascularization in Management of Critical Limb Ischemia. The Egyptian Journal of Hospital Medicine, 2019; 76(7): 4639-4642. doi: 10.21608/ejhm.2019.45652
Randomized Comparative Study between Direct and Indirect Tibial Revascularization in Management of Critical Limb Ischemia
Department of Vascular surgery, Faculty of Medicine, Al-Azhar University
Abstract
Background: The importance of the angiosome concept in critical limb ischemia remains controversial. Aim of the study: to assess the outcomes of direct re-vascularization (angiosome-targeted tibial angioplasty alone) (DR) versus indirect re-vascularization (IR) non angiosome target, in isolated tibial lesions. Patients and Methods: thirty patients were included and presented to vascular surgery department of Al-Azhar University Hospitals with infra-popliteal arterial lesions, randomly distributed into two equal groups;15 patients was treated with (DR) while 15 patients treated with (IR). Results: fifteen patients reached the end point of adequate healing: (9 patients with ‘DR’ technique and 6 patients with ‘ID’ technique) and 9 patients underwent major amputations. The limb salvage after one year was 70%. Conclusion: direct re-vascularization (DR) of the tibial vessels appears to improve wound healing and limb salvage rates compared with IR, with no effect on patency, morbidity, mortality or re-intervention rates.
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