000 02712cam a2200349 a 4500
003 EG-GiCUC
005 20250223032641.0
008 201207s2020 ua dh f m 000 0 eng d
040 _aEG-GiCUC
_beng
_cEG-GiCUC
041 0 _aeng
049 _aDeposite
097 _aPh.D
099 _aCai01.11.14.Ph.D.2020.Ah.R
100 0 _aAhmad Mahmoud Tawfiq Mansour
245 1 0 _aRetrograde access technique for revascularization of critical lower limb ischemia /
_cAhmad Mahmoud Tawfiq Mansour ; Supervised Mohamed Hosni Eldessoki , Mohamed Ibrahim Elmaadawy , Ahmed Gamal Eldien Fouad
246 1 5 _aاستخدام القسطرة الشريانية التداخلية عكس إتجاه تدفق الدم لعلاج القصور الشريانى الحرج بالطرف السفلى
260 _aCairo :
_bAhmad Mahmoud Tawfiq Mansour ,
_c2020
300 _a192 P. :
_bcharts , facsimiles ;
_c25cm
502 _aThesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of General Surgery
520 _aPurpose: the aim is to evaluate the role retrograde access technique as a bailout technique after failure of antegrade angioplasty in cases of critical limb ischemia.Patients and methods: our study included 25 patients with critical limb ischemia.Patients with non-salvageable limbs, acute ischemia, trauma, aneurysms, connective tissue disorders and arteritis were excluded. All patients had CLI (Rutherford 4 to 6) access used was contralateral femoral access, ipsilateral femoral access, and then retrograde access.Results: mean Patients{u2019} age was 63 years, male to female ratio 3:2. Patients{u2019} presentation was rest pain, minor, major tissue loss and claudications in 3,21,1 patients respectively.The access used was initially ipsilateral or contralateral femoral access then retrograde access through distal femoral artery, ATA, PTA & Peroneal arteries in 2,8,7& 8 patients respectively. Angioplasty was done to all cases except one case failed to cross the lesion. Stents were used in 13 cases, DEB in 7 cases and thrombolytic therapy in 2 cases. Re-entry devices were not used Conclusion: Retrograde access is a safe with high success rate technique in cases of critical limb ischemia if the lesion cannot be crossed through antegrade technique
530 _aIssued also as CD
653 4 _aCritical ischemia
653 4 _aEndovascular
653 4 _aRetrograde access
700 0 _aAhmed Gamal Eldien Fouad ,
_eSupervisor
700 0 _aMohamed Hosni Eldessoki ,
_eSupervisor
700 0 _aMohamed Ibrahim Elmaadawy ,
_eSupervisor
856 _uhttp://172.23.153.220/th.pdf
905 _aNazla
_eRevisor
905 _aShimaa
_eCataloger
942 _2ddc
_cTH
999 _c79147
_d79147