000			03237cam a2200349 a 4500
003			EG-GiCUC
005			20250223032901.0
008			211219s2021 ua dh f m 000 0 eng d
040			_aEG-GiCUC _beng _cEG-GiCUC
041	0		_aeng
049			_aDeposite
097			_aPh.D
099			_aCai01.11.05.Ph.D.2021.Am.B
100	0		_aAmr Mohamed Mohy Eldin Kamel Eissa
245	1	0	_aBailout utilization of Tirofiban for distal trashing/ acute thrombosis during endovascular management in patients with peripheral arterial occlusive disease / _cAmr Mohamed Mohyeldin Kamel Eissa ; Supervised Mohamed Hosni Eldessoki , Ahmed Gamal Eldin Fouad , Amr Saleh Elbahaey
246	1	5	_aاستخدام التيروفيبان كوسيلة إنقاذ فى حالات التجلط الشريانى / الإنسداد الوعائى الطرفى أثناء علاج مرضى الإنغلاق الشريانى الطرفى عن طريق القسطرة التداخلية
260			_aCairo : _bAmr Mohamed Mohy Eldin Kamel Eissa , _c2021
300			_a97 P. : _bcharts , facsimiles ; _c25cm
502			_aThesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Cardiothoracic Surgery
520			_aBackground: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
530			_aIssued also as CD
653		4	_aAcute thrombosis
653		4	_aDistal trashing
653		4	_aTirofiban
700	0		_aAhmed Gamal Eldin Fouad , _eSupervisor
700	0		_aAmr Saleh Elbahaey , _eSupervisor
700	0		_aMohamed Hosni Eldessoki , _eSupervisor
856			_uhttp://172.23.153.220/th.pdf
905			_aNazla _eRevisor
905			_aShimaa _eCataloger
942			_2ddc _cTH
999			_c83612 _d83612