Outcome of Multilevel Angioplasty at Critical Limb Ischemia of the Lower Limb

Document Type : Original Article

Authors

1 General and Vascular Surgery Department, Suez Canal Authority Hospital, Ismailia, Egypt

2 General and Vascular Surgery Department, Faculty of Medicine, Suez Canal University, Ismailia, Egypt

Abstract

Introduction: Peripheral artery disease (PAD) affects aging population, with critical limb ischemia (CLI) being a severe form. Patients with CLI face increased risk of morbidity, mortality, and amputation. Revascularization is standard, but intravascular strategies offer benefits. Infrapopliteal PAD can occur in isolation or with proximal level disease, with endovascular approaches being best for high-risk patients. We sought to compare the results of primary patency, limb salvage, and major amputation rates at the multilevel disease at the peripheral arterial disease. Methods: We performed a single-centre, prospective cohort study that 21 patients with critical lower limb ischemia who underwent multilevel disease (Tibial disease and proximal popliteal and or femoral arterial disease) from in Suez Canal university hospital, Suez Canal authority hospital and Abokhalifa emergency hospital in the period from April 2022 to December 2024. Results: our patients reported high efficiency with better primary patency and healing processes, and limb salvage. Conclusions: Endovascular intervention is a recommended treatment for peripheral arterial disease, with low mortality rates and good results in wound healing and limb salvage. It is associated with low mortality rates and should be the first modality for patients unfit for surgery. Factors such as diabetes, hypertension, smoking, and hyperlipidemia may affect the disease. Endovascular has good primary patency and healing processes, and limb salvage at Multi-level arterial disease 

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