The effect of endovascular intervention in patients with peroneal artery as a single runoff

Ismail, Abd El Fattah Aly; Zakaria, Mohamed Yahia; Aleem, Salah El Dine Amer Salah Abd El

doi:10.58675/2682-339X.2226

The effect of endovascular intervention in patients with peroneal artery as a single runoff

Authors

¹ Professor of General Surgery and Vascular Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

² Assistant Professor of General Surgery and Vascular Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

³ MS in General Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt

10.58675/2682-339X.2226

Abstract

Background: Peripheral vascular disease (PVD) commonly affects the arterial blood flow to the lower limbs and is primarily caused by the progression of atherosclerosis. Intermittent claudication, a common manifestation among patients, refers to the occurrence of muscular discomfort during walking. This condition arises due to the presence of artery stenosis or occlusion, which leads to a constriction in blood flow. Objective: This study evaluates the effects and outcomes of endovascular interventions on patients with single-vessel runoff, specifically focusing on the peroneal artery. The primary objective is to assess the influence of these procedures on limb salvage. Materials and Methods: The present study is a prospective clinical experiment that will include thirty patients who will undergo angioplasty with peroneal artery as a single runoff in order to evaluate the outcome of angioplasty with PA as a single runoff and its effect on limb salvage. Results: Recent studies have demonstrated that endovascular interventions for limb salvage using the peroneal artery as a single run off are as effective as open bypass surgery and other intra-articular vessel angioplasty for patency, limb salvage, and wound healing rates in patients presenting with ischemic tissue loss. Conclusion: The lower end of peroneal artery by its communicating branches to PTA and its perforating branches to ATA makes endovascular intervention of peroneal artery as a single flow to the foot is very helpful and accepted in revascularization of the foot and healing of any associated tissue loss and This study aims to determine whether the outcomes of vascular runoff in patients with ischemic tissue loss, including patency, limb salvage, and wound healing rates, are comparable to those observed in other vessels.