Revascularization Procedures for Chronic Lower Limb Ischaemia in TU Teaching Hospital
DOI:
https://doi.org/10.31729/jnma.606Abstract
A retrospective review of various revascularization procedures performed for the management of chronic
lower limb ischaemia in Tribhuvan University Teaching Hospital (TUTH) during the last three and half
years was done. A total of 37 revascularization procedures were done in 30 patients. Mean age of the
patients was 53.10+15.34 (range 20-88) years. Except 3, all the patients were male. Atherosclerosis
predominated as the cause of arterial occlusion. Superficial femoral artery was the commonest site of occlusion
followed by external iliac artery. Femoropopliteal bypass was the commonest procedure done (62 per cent).
Vascular prosthesis was used only in 7 patients, rest were managed using autogenous saphenous vein to
bypass the occluded segment. Endarterectomy (10 per cent) and thrombectomy (8 per cent) were other
procedures done for revascularization. There was 91% immediate limb salvage rate. Late limb salvage rate
was 88% till the time of this writing.
Key Words: Revascularization, chronic leg ischaemia, bypass, graft.
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