TY - BOOK AU - Ahmed Saeed Abuhadema AU - Ahmed Gamil Karmota , AU - Ahmed Saeed Abuhadema , AU - Baker Moustafa Ghoneim , TI - Management of buerger's disease in endovascular Era / PY - 2017/// CY - Cairo : PB - Ahmed Saeed Abuhadema , KW - Buerger's disease KW - Endovascular intervention KW - Modalities of treatment of buerger's disease N1 - Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of General Surgery; Issued also as CD N2 - Objective: To report data on the feasibility, safety, and effectiveness of endovascular procedures in a thromboangitis obliterans diagnosed patients presenting with CLI. Design: Prospective study. Methods: 39 patients affected by buerger's disease that underwent varieties of treatment. Fifteen (38.5%) patients underwent percutaneous transluminal angioplasty, another 15 patients (38.5%) underwent follow up on medical treatment, there are 4 other patients (10.3%) underwent surgical bypass and 5 (12.8%) patients underwent lumbar sympathectomy. Clinical, radiological and patient-based outcomes were recorded at 1, 3 and 6 months after the intervention. Results: The clinical outcome showed 66.7% technical success in endovascular group with 46.7% patency rate after 6 months (P value 0.06), 86.7% limb salvage rate (a P value <0.04) and 66.7% clinical improvement (P value 0.005). Conclusion: The endovascular management of Buerger's disease is feasible, save and effective with high rate of limb salvage rate and clinical improvement ER -