03237cam a2200349 a 4500 EG-GiCUC 20250223032901.0 211219s2021 ua dh f m 000 0 eng d EG-GiCUC eng EG-GiCUC eng Deposite Ph.D Cai01.11.05.Ph.D.2021.Am.B Amr Mohamed Mohy Eldin Kamel Eissa Bailout utilization of Tirofiban for distal trashing/ acute thrombosis during endovascular management in patients with peripheral arterial occlusive disease / Amr Mohamed Mohyeldin Kamel Eissa ; Supervised Mohamed Hosni Eldessoki , Ahmed Gamal Eldin Fouad , Amr Saleh Elbahaey استخدام التيروفيبان كوسيلة إنقاذ فى حالات التجلط الشريانى / الإنسداد الوعائى الطرفى أثناء علاج مرضى الإنغلاق الشريانى الطرفى عن طريق القسطرة التداخلية Cairo : Amr Mohamed Mohy Eldin Kamel Eissa , 2021 97 P. : charts , facsimiles ; 25cm Thesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Cardiothoracic Surgery Background:Despite major advances during recent years, complications in peripheral vascular interventions remain a major issue. Because angioplasty for most entities of peripheral vascular disease does not generally have a more durable result than surgical reconstruction, its use is justified mainly by its reduced risk combined with a reasonable likelihood for success. Among the most serious complications are the embolization and distal trashing, which can be a devastating complication of endovascularprocedures. It can transform a relatively straightforward procedureperformed for claudication into a complex high-risk limb salvageendeavor. Objective: Todescribe a bailout technique for the management of distal trashing/ acute thrombosis in patients undergoing angioplasty for peripheral arterialocclusive diseaseusing Tirofiban infusion and anticoagulation. Methods: This is a Nonrandomized single arm clinical trial describing a bailout technique for the management of distal trashing/ acute thrombosis in patients undergoing angioplasty for peripheral arterial occlusive disease.The study was conducted at Cairo university hospitals (KasrAlainy), vascular surgery department, in the period between April 2019 and August 2020.Forty-three patients with peripheral arterial disease undergoing angioplasty complicated; interprocedurally; by distal trashing/ acute thrombosis were included.Results: Clinical success defined asRestoration of palpable pulse or triphasic flow by duplex was met in thirty-nine (90.7%) cases. Failure cases had established non- salvageable limbs, ended by above knee amputation Issued also as CD Acute thrombosis Distal trashing Tirofiban Ahmed Gamal Eldin Fouad , Supervisor Amr Saleh Elbahaey , Supervisor Mohamed Hosni Eldessoki , Supervisor http://172.23.153.220/th.pdf Nazla Revisor Shimaa Cataloger ddc TH 83612 83612 ddc 0 CUCL cl210 2024-02-11 Cai01.11.05.Ph.D.2021.Am.B 01010110085014000 2023-09-22 00:00:00 TH ddc 0 CUCL cl2u8 2024-02-11 Cai01.11.05.Ph.D.2021.Am.B 01020110085014000 2023-09-22 00:00:00 85014.CD CD