Early Results of Single Infragenicular Tibial Angioplasty In Critical Lower Limb Ischemia

Background: The most severe form of peripheral artery occlusive disease is critical limb ischemia. The diagnosis is poor, with death after one year reaching 25% and amputation rates reaching 30%. Objective: To investigate the early results of single infragenicular tibial angioplasty in patients with critical limb ischemia (CLI). Patients and methods: A prospective randomized clinical trial was performed in the Vascular Surgery Department of the Mostafa Kamel Military Hospital and the Al-Azhar University Hospitals. The study is conducted on 30 patients complaining of critical lower limb ischemia. Results: Thirty patients with critical limb ischemia due to tibial disease were included. The patients' average length of stay in the hospital was 3 ± 1 day. In 4 cases (13%), there were no complications during the follow-up period. Restenosis was discovered in 3 individuals (10%), whereas thrombosis was found in 1 (3%). Follow-up revealed that 18 cases (60%) had fully healed their wounds, while 6 (20%) had incomplete healing. Conclusion: One accepted endpoint of infrapopliteal PVI for patients with CLI was the achievement of the inflow of a single vessel into the wound..