Endovascular Versus Open Versus Hybrid Revascularisation In Infra Inguinal Disease – 2 Years Prospective Study in A Tertiary Care Center in South India

Abstract

Our aim is to share the clinical experience of endovascular, open and combined hybrid revascularization in infra inguinal disease and compare the results. A prospective study of 150 patients undergoing infra inguinal procedures was done, a period ranging from October 2017 to June 2019 with 3 months follow up. A number of patients undergoing CT – Angiogram, Digital Subtraction Angiogram (DSA) were recorded. A number of cases undergoing Angioplasty, Catheter Directed Thrombolysis (CDT), Open Surgical Bypass were noted. Cases of acute limb ischemia were excluded and chronic cases included in our study, age 35-85 years, sex distribution male 134 (89.3%) and female 16 (10.7%) cases. Similarly, individual risk factors were stratified. Ct angiogram was done in 60 (40%) and DSA in 90 (60%) cases. Diagnostic variables : left fempop occlusion 42 (28%), right fempop occlusion 55 (36.7%), left tibial occlusion 18 (12%) and right tibial occlusion 35(23.3%). Treatment procedure variables : CDT and Angioplasty 1(0.7%), angioplasty 87(58%), angioplasty and bypass 8 (5.3%), bypass 35 (23.3%), CDT 15 (10%), CDT and bypass 4 (2.7%). The results of the analysis were compared and statistical significance P-value were calculated by chi-square tests, SPSS software. Statistic significance was seen for risk factors CAD (0.001), Smoking (0.008), Hypertension (0.000) on comparison to treatment procedures and for corresponding clinical diagnosis (0.002), investigation modality (0.000) and treatment procedures.