ORIGINAL ARTICLE   

Chirurgia 2021 February;34(1):1-6

DOI: 10.23736/S0394-9508.20.05069-X

Copyright © 2020 EDIZIONI MINERVA MEDICA

language: English

The consequences of angiography and angioplasty of the lower limb in one stage by simultaneous ipsilateral double puncture technique and in two-stage delayed technique: a comparative study

Hossein HEMMATI, Sahebeh FARZALIZADEH ✉, Zakiyeh JAFARIPARVAR, Mohammad S. ESMAEILI DELSHAD, Ghazaleh HEMMATI, Zahra POORHABIBI

Razi Clinical Research Development Unit, Guilan University of Medical Sciences, Rasht, Iran

BACKGROUND: Chronic limb ischemia is the progressive form of peripheral artery disease which should be managed by an endovascular or surgical technique such as angioplasty and angiography. In this study, we compared the complications of angioplasty and angiography of the lower extremity in one session with two concurrent conduits at the lesion side and in a delayed and two-step procedure in patients with critical limb ischemia.
METHODS: In this clinical trial study, 170 cases of chronic lower extremity ischemia between August 2015 and February 2018 were studied. The patients were divided into two groups randomly including 85 subjects in each one, one group of angiography and angioplasty simultaneously, and one group which we performed these methods with a delay of 2 weeks. Patients hospitalized 24 hours and followed up once a week and once a month. Data were analyzed by SPSS 22.
RESULTS: 63.5% of the patients were men. Four (4.7%) cases with simultaneous insertion of two sheets at the lesion side showed the complications of angioplasty. On the other hand, the group with delayed angiography and angioplasty in two stages had complications in 5 (5.9%) cases with angioplasty and 2 (2.4%) with angiography. There was no statistically significant relationship between the patients’ gender, age groups, smoking, hypertension, hyperlipidemia, and kidney diseases (P>0/05).
CONCLUSIONS: Angiography and angioplasty simultaneously with double puncture technique beside the lesion have advantages including a significant reduction in costs compared with the cross-over method and there was no higher complication rate compared to other methods.

KEY WORDS: Ischemia; Angiography; Angioplasty