Comparative study between surgical arterial bypass and endovascular interventions in the treatment of popliteal artery occlusion

Background: Peripheral Arterial Occlusive Disease is characterised by decreased arterial blood flow to lower extremities as result of atherosclerotic arterial lesions & is identified by ankle-brachial index < 0.9. Aim: goal of this work was to compare between bypass surgery & endovascular interventions in treatment of popliteal artery occlusive disease as regard to success rate, patency, limb salvage as well as post-procedure complications. Patients & techniques: This prospective randomized controlled clinical trial has been conducted in the vascular surgery departments of Al-Azhar university Hospitals (from December 2019 to December 2021). Results: There is a variance found among groups concerning pre or postoperative ABI. Moreover, there is increase in ABI postoperatively in both groups. Limb salvage was higher in group A compared to group B but without variation. Conclusion: Surgical arterial bypass and endovascular interventions in therapy of popliteal artery occlusion were easy and effective way in therapy of popliteal artery occlusion. Our results showed that, Operative time was greater in group A compared to group B. There is a variation found among groups concerning pre or postoperative ABI. Limb salvage was greater in group B compared to group A.