Comparative Study between Tibial Vessels Angioplasty with Combined Tibial Vessels and Arch Angioplasty in Diabetic Foot Salvage

Mahmoud, Mahsoub Mourad Amin; Daha, Ahmed Saied Ahmed; Farrag, Mohammed Saad Abdelaziz

doi:https://doi.org/10.21608/aimj.2025.446643

Comparative Study between Tibial Vessels Angioplasty with Combined Tibial Vessels and Arch Angioplasty in Diabetic Foot Salvage

Document Type : Original Article

Authors

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

² Lecturer of Vascular Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

³ MBBCh, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

https://doi.org/10.21608/aimj.2025.446643

Abstract

Background: Diabetes mellitus (DM) affects around 170 million people globally, and that number is projected to rise to over 370 million in the next decade. Peripheral arterial disease (PAD) affects over 200 million people globally in 2010.
Aim and objectives: To compare the outcomes of angioplasty of tibial vessels disease with angioplasty of tibial vessels and below-the-ankle arterial diseases in diabetic patients, according to limb salvage and time of wound healing.
Subjects and methods: From August 2023 through December 2024, 50 diabetic patients were included in a prospective comparison study at the vascular surgery departments of Al-Hussein University Hospital and Elsayed Galal University Hospital.
Results: It appeared that the most common procedure done was balloon dilatation of anterior tibial artery (64%) followed by the posterior tibial artery (60%), while the least artery dilated was tibioperineoal trunk (10%). By analyzing the salvageable rate after the procedure, it was found that 17(62.96%) had minor amputation(toes) in group A, while it was 14(60.86%) in group B. However, in terms of limb salvageability, neither group differed significantly from the other. Additionally, there was an insignificant difference in the rate of debridement in group A 10(37.03%) and group B 14(60.86%).
Conclusion: Patients with diabetes who are experiencing severe lower limb ischemia can benefit from balloon angioplasty. Meanwhile, limb salvage rates were similar between tibial-only angioplasty and tibial with below-ankle angioplasty.

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