Abstract
This study was aimed to report data on the feasibility, safety, and effectiveness
of endovascular procedures in a thromboangiitis obliterans diagnosed patients presenting
with critical limb ischemia (CLI). Prospective study conducted on patients affected
by Buerger's disease who presented to our center along 2 years. Clinical, radiological,
and patient-based outcomes were recorded at 3, 6, and 12 months after the intervention.
Total 39 patients were included in the study. Fifteen (38.5%) patients underwent percutaneous
transluminal angioplasty, another 15 patients (38.5%) underwent follow-up on medical
treatment, there are four other patients (10.3%) underwent surgical bypass, and five
(12.8%) patients underwent lumbar sympathectomy. The 12 months' outcome showed 66.7%
technical success in endovascular group with 46.7% patency rate (p-value = 0.06), 86.7% limb salvage rate (LSR; p-value < 0.04), and 66.7% clinical improvement (p-value = 0.005). The endovascular management of Buerger's disease is feasible, save,
and effective with high rate of LSR and clinical improvement.
Keywords
angioplasty - arteritis - Buerger's disease - catheter-directed - thrombolysis - critical
limb ischemia - endovascular procedure - nicotine
