|Year : 2018 | Volume
| Issue : 1 | Page : 67-71
VSICON 2017 prize paper abstracts
|Date of Web Publication||31-Jan-2018|
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
. VSICON 2017 prize paper abstracts. Indian J Vasc Endovasc Surg 2018;5:67-71
| Vor01: An Evaluation of Hemodynamic and Perfusion Parameters and the Response to Revascularization among Patients With Critical Lower Limb Ischemia. (1st Prize in Short Paper Presentation)|| |
The Vascular Society of India (VSI) is dedicated to providing updated, compelling, and continuing educational content to vascular specialists across the country. To fulfill this mission, the VSI organizes the Annual Meeting (VSICON), one of the nation's largest and most influential annual scientific meetings focused solely on the care of the vascular patient. Out of approximately a hundred abstracts submitted for oral and poster presentations for VSICON 2017, the following blinded abstracts were peer reviewed; and the highest scoring abstracts were slotted for presentation in the competition session on the basis of their quality, originality, and relevance to the overall program.
Dr. Prasenjit Sutradhar, Dr. Robbie George
Narayana Hrudayalaya, Bangalore Email: firstname.lastname@example.org
Introduction: A prospective cohort study to assess the ability ABI/TBI/ TcPO2 to predict successful wound healing of lower limb critical limb ischemia by open/endovascular revascularization technique in patients presenting with Rutherford Class V / VI critical ischemia. Methods: Adult patients presenting with Rutherford class V/VI disease, ABI / TBI/ TcPO2 pre intervention and post intervention (post operative day 2 and day 5) were recorded. Patients were followed up to look for wound healing or amputation/limb loss. ANOVA was used to find the significance of study parameters between three or more groups of patients. Student t test was used to find the significance of study parameters on continuous scale between two groups on metric parameters. Results: 47 patients with 49 affected limbs were recruited over a period of 1 year. Wound healing was achieved in 43 out of 49 limbs (87.8%). 1 patient expired during the course of the study. A comparison of the pre and post operative assessment markers showed a rise in ABI, TBI, TcPO2 post revascularization in the group with successful wound healing that continued from POD 2 to POD5. TcPO2 was found to be the most significant predictor of wound healing (p = <0.01) followed by ABI (p = 0.05) and TBI was found to be non significant. We found no wounds with TcPO2 of less than 30mmHg achieved healing and all wounds that healed were associated with a TcPO2 of more than 30mm hg by post revascularization day 2 itself. Conclusions: Our study demonstrates an improvement in all 3 parameters i.e. ABI, TBI and TcPO2 following successful surgical or endovascular revascularization. We have found TBI to be the least sensitive and a TcPO2 of more than 30 mmHg the most accurate. We feel these parameters, especially TcPO2>30mmHg, are valid early indicators of wound healing in a clinical context and can help identify wounds that may fail to heal and would need adjunctive procedures
| Vor02: Novel Strain Gauge Plethysmography (2nd Prize in Short Paper Presentation)|| |
Dr. Albert Abhinay Kota, Dr. Dheepak Selvaraj
CMC Vellore Email: email@example.com
Objectives: To assess the feasibility of a novel stretch sensor as a strain gauge plethysmography in venous physiological studies. Three stretch sensors were applied to the circumference of the calf and the volume changes were measured as changes in length of the elastic band surrounding the calf. Methodology: It was a prospective study done on three patients. Indices like venous filling index, residual volume and ejection fraction were measured and plotted on a graph. The patterns in the graph were correlated to the clinical presentation and the duplex assessment of the venous system. Results: The venous filling index and ejection fraction on the normal patient were 1.01 ml/s and 84%. The VFI & EF in patients with isolated superficial junctional reflux and in a patient with a superficial and deep venous reflux was 3.36 ml/s & 33.2% and 5.56 & 60 % respectively. In the initial assessment of the results and comparison of the results with patterns seen in strain gauge plethymography, pattern of the venous refilling graph and the derived indices were similar. Conclusion: The assessment of the venous physiology using this novel stretch sensor could be comparable to the conventional strain gauge plethysmography. This cheaper and accurate alternative could lead to increase use of venous physiological assessment in our country.
| Vor03: Life After Open Repair of Abdominal Aortic Aneurysm- Sree Chitra Experience (3rd Prize in Short Paper Presentation)|| |
Prakash Goura, Shivanesan Pitchai, Harishankar, Sreekumar Ramachandran
Division of Vascular Surgery, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum Email: firstname.lastname@example.org
Aims and Objectives: To assess the long term survival in patients undergoing elective open repair of abdominal aortic aneurysms and assess re-interventions on long term follow up. To assess the perioperative mortality and morbidity in patients undergoing elective abdominal aortic aneurysm repair. Materials and Methods: A single center retrospective study from Janurary 2008 to December 2016. All patients undergoing elective open repair of abdominal aortic aneurysms (AAA) were included in the study. Patients with infrarenal and juxtarenal AAA were included in the study. Patients with suprarenal and ruptured AAA were excluded from the study. Results: A total of 165 patients underwent elective open repair of AAA which included 137 (83%) infrarenal and 28 (17%) juxtarenal domain. The mean age of the cohort was 65.5 years. Mean follow up 39.7 months (Range 6 m to 8 years). Average size of the AAA was 6.8cm (4.7cm to 9.8cm) with a predominantly male cohort. 90 (54.5%) patients were asymptomatic and 50(30.3%) patients had vague abdominal pain and early satiety. 25 (15.1%) patients had low back pain at presentation. 141 (85.4%) patients were smokers (current or reformed) of which 25 (15.1%) patients were actively smoking (<6 weeks) at the time of presentation. 116 (70.3%) patients were reformed smokers (>6 weeks). 158 (95.7%) patients were hypertensives and 16 (9.7%) patients were diabetics. 8 (4.8%) had COPD and were on active treatment. Preoperative renal dysfunction, defined as creatinine >1.5mg/dl, was seen in 17 (10.3%) patients. Coronary angiography was done in all the cases. 28 (16.9%) patients had single vessel disease, 19 (11.5%) patients had double vessel disease and 8 (4.8%) patients had triple vessel disease. 28(16.9%) underwent coronary revascularization prior to surgery. Perioperative mortality was seen in 4 (2.4%) patients. Causes of perioperative mortality were renal failure in 2 (1.2%), Myocardial ischemia 1 (0.6%) and perioperative bleeding 1 (0.6%). There were 12 (7.6%) mortalities in the long term follow up. . Cardiac diseases were the most common cause of long term mortality 3(1.9%). 2 (1.3%) developed Gastrointestinal malignancies and succumbed after surgery. 3 (1.8%) patients died due to long term complications of aneurysm surgery. Long-term complications were divided into Laparotomy Related Complications and Graft Related Complications. A total of 12 patients (7.6%) had significant laparotomy related complications including superficial skin infections (1.3%), intestinal obstruction, acute / subacute (2.5%) and incisional hernia in 3.8% of patients. 1(0.6%) Patient had a graft thrombosis after 4 years after surgery, 2(1.3%) patients had anastomotic pseudoaneurysms and graft infections and 6(3.8%) patients developed graft limb occlusion/stenosis. Overall 11 patients (6.9%) had long term graft related complications. The overall longterm reintervention rate was 8.8%. 2 patients (1.3%) underwent incisional hernia repair and 2 patients (1.3%) underwent adhesiolysis for small bowel obstruction. 2 patients (1.3%) underwent graft explantation and extra-anatomic bypass for graft infection. 2 patients underwent repair of anastomotic pseudo aneurysm. 4 patients (2.6%) developed stenosis/occlusion at the iliac anastomosis and underwent crossover Femoro-femoral bypass. 2 patients underwent iliac stenting for stenosis at the iliac anastomosis. Diabetes mellitus, use of bifurcated graft, perioperative wound infections and abdominal wall dehiscence were associated with long term graft related complications and needed reinterventions. Conclusions: Open repair of abdominal aortic aneurysms is associated with good early and long-term results. Reinterventions rates are low and especially present in those with perioperative abdominal wall dehiscence (both graft and laparotomy related). Proper wound care in the perioperative period can avoid long-term reinterventions. In the current endovascular era, young patients with long life expectancy will benefit more from open surgical repair for AAA with better outcome and less reinterventions.
| Vor04: Reliability and Validity of Walking Impairment Questionnaire-Gujarati Version|| |
Dr. Darshana Nariya, Dr. Hetshri Shah, Dr. Megha Chavda, Dr. Manish Raval.
Ashok and Rita Patel Institute of Physiotherapy Email: email@example.com
Introduction: Peripheral Arterial Disease (PAD) is characterized by atherosclerotic occlusive disease of the lower and upper extremities. Intermittent claudication is the classic symptom of peripheral arterial disease. Walking Impairment Questionnaire (WIQ) is the questionnaire used to detect functional inactivity in PAD patients. Reliability and Validity of the WIQ has not been studied in Indian population therefore, aim of the study is to find the reliability and validity of the WIQ in PAD in India. Method: Design – Observational Study. Analysis: Statistical analysis was performed using SPSS 23.0.To determine the reliability of the WIQ, test-retest reliability was assessed with the Interclass Correlation Coefficient and Internal Consistency was assessed with cronbach's alpha. To assess concurrent validity, results of WIQ was compared with results of 6 min walk test and to assess construct validity, results of WIQ were compared with physical functioning domain of SF-36(1.0) using Pearson's correlation coefficients. P values were measured. Results: Total of 160 patients were enrolled suffering from PAD. Results and data were analyzed. Conclusion: We find WIQ relevant and an important questionnaire in Indian subset of patients.
| Vor05: Qualitative Assessment of Carbon Dioxide as a Contrast Agent For infra-Inguinal Arterial Diagnostic and Therapeutic Procedures in Patients With Chronic Kidney Disease and Critical Limb Ischemia|| |
Dr. Dharmesh Davra, Dr. Sravan CPS, Dr. Piyush J, Dr. Vaibhav L, Dr. Sumanthraj K, Dr. Vishnu M, Dr. Vivekanand, Dr. K R Suresh
Jain Institute of Vascular Sciences (JIVAS), A unit of Bhagavan Mahaveer Jain Hospital, Bengaluru, India Email: firstname.lastname@example.org
Background: Iodinated contrast volume reduction is effective strategy to prevent contrast-induced nephropathy(CIN). Patients with peripheral vascular disease(PVD) often have chronic kidney disease(CKD) which may enhance the risk of CIN in endovascular therapy(EVT). This study is to assess whether CO2 Angiogram(CO2A) can replace conventional iodine contrast guided EVT in CKD patients. Methods: A prospective single center study in patients with an estimated glomerular filtration rate(eGFR) <60ml/min/1.73m2. Patients were recruited between April 2015 and December 2016. CO2 angiography-guided EVT was performed for critical limb ischemia(CLI). The CO2A of each patient were graded as 'Good', 'Fair' or 'Poor' by two independent observers. CO2A were supplemented by minimal iodinated contrast media if opacification was not acceptable. The primary endpoint was a qualitative assessment of CO2A for infra-inguinal arterial EVT and freedom from adverse renal events. Results: This study included 44 patients(44 limbs) with CLI(Rutherford Class 5/6). The mean baseline eGFR was 34.59±10.93 ml/min/1.73m2 with mean age 70±9 years(CKD class-3/4/5). The CO2 angiography-guided angioplasties were performed in 12 superficial femoral arteries, 8 in popliteal arteries, 25 anterior tibial arteries, 12 posterior tibial arteries, 10 Peroneal, 6 Tibio-peroneal trunk. The technical success rate was 77.3%(34/44). Average CO2 consumption was 482 ± 130 ml, average dose of iodinated contrast media was 10.14 ± 8.77 ml. Incidence of CIN was 6.8%(3/44), two patients eventually recovered with medical management, one patient required dialysis. CO2A related leg pain occurred in 36%(16/44). Quality evaluation of CO2A by two observers showed that 'Good' CO2A were obtain in 35 cases with inter-rater reliability(IRR) of 86%(kappa-0.61) in Femoropopliteal segment. We observed 'Good' CO2A in only 6(14%) cases in infrapopliteal segments but poor CO2A in 29 cases with IRR of 86%(kappa-0.71). Perioperative mortality was 6.8%(not related to CO2A complication). Conclusions: The 'Poor' quality CO2A in infrapopliteal vessels are due to pain and leg movements while injecting CO2 gas. Infrapopliteal segment opacification with CO2A is still an obstacle and needs to address with modern angiography technology, use of regional anesthesia to reduce pain and injection of CO2 gas as close as possible to lesions. CO2 angiography guided endovascular therapy can be alternative for femoropopliteal lesions in CKD patients.
| Vor06: Impact of Calcium Score on Local & Systemic Outcomes After Lower Limb Endovascular Revascularisation.|| |
Dr Piyushkumar Jain, Dr. Vaibhav, Dr. Dharmesh, Dr. Sravan, Dr Vishnu, Dr Vivekanand, Dr. Sumanthraj, Dr K R Suresh.
Jain institute of vascular sciences (JIVAS), Bengaluru. Email: email@example.com
Introduction: Vascular calcification leads to higher rates of amputation, MACE and lower rates of wound healing, technical success and primary patency after lower limb endovascular revascularisation. Objectives: To find the relationship between the local and systemic outcomes and calcium score like: wound healing, limb salvage and major adverse cardiac event (MACE) along with technical success & primary patency in patients undergoing purely infrainguinal endovascular revascularisation. Methods: Prospective, observational study conducted at JIVAS. 50 patients enrolled in study and CT calcium score calculated. Patients were underwent necessary debridement or amputation followed by revascularisation. The patients were followed at 1st, 3rd and 6th months where they underwent PVR, ECG and other tests if clinically necessitated. They were also on regular follow up for wound dressings and rehabilitation. Results: Patients were divided into two groups: low calcium score group (LCS) and high calcium score group (HCS). There were higher number of Diabetes and chronic kidney disease (CKD) patients in HCS while the LCS had significantly higher number of smokers (p – 0.017). The technical success rate was similar: 78.26% in the HCS and 82.61% in the LCS. At 1st month, the incidence of MACE was 9/23 (39.13%) in high calcium score group vs. 1/23 (4.34%) in low calcium score group (p - < 0.009). At the end of 6 months, MACE was higher in HCS (p- < 0.016). The wound healing rate was better in low calcium group (82.35%) vs. high calcium group (4.76%) (p-0.304). Primary patencies were similar at 6th month. The Amputation free survival in the HCS was 15/23 (65.21%) which was significantly less than 0/23 in the LCS (p- 0.000001). Conclusion: In patients of diabetes and CKD, endovascular intervention is a good tool for revascularisation with fairly good technical success and short term primary patency but there are low chances of amputation free survival and hence aggressive wound care should be provided for wound healing and limb salvage.
| Vor07: Endovascular Management of Tasc Ii C and D Aortoiliac Lesion|| |
Dr. Gurunandan U, Dr.Ambarish Satwik, Dr.Sandeep Agarwal, Dr.V.S.Bedi, Dr Ajay Yadav, Dr. Dhruv Agarwal, Dr. Apurva Srivatsava
Sir Ganga Ram Hospital,New Delhi Email: firstname.lastname@example.org
Background: Management of aortoiliac occlusive disease has evolved over the years from a surgical-only approach to a primarily endovascular-only approach as the first line treatment option. The priority use of endovascular techniques has increased in the last decade with the advent of new devices and applied technologies. Advantages are shorter hospital stay, less morbidity and mortality and good primary patency rates. Methods: This study was conducted in the Department of Vascular & Endovascular Surgery, Sir Ganga Ram Hospital, New Delhi from September 2015 to June 2017. 50 patients of TASC II C and D aortoiliac disease were included in the study as per inclusion criteria. It was a prospective observational study. All our patients underwent a thorough preoperative evaluation which included clinical examination as well as ankle brachial pressure index measurement and color doppler.Post procedure patients were followed up for 1 year at regular intervals. Post operative evaluation included clinical examination and ankle brachial pressure recording during each visit. Statistical testing was conducted Chi-squared test or Fisher's exact test as appropriate. Results: The technical success rate in the present study was 100%.12 months primary patency was 82% for the study population.4 out of 50 patients had complications, which were managed conservatively. There was no perioperative mortality in this study. Conclusion: Endovascular management of TASC II C and D aortoiliac occlusive disease is safe and effective with good technical success and primary patency rates at 12 months. The endovascular approach should be considered first with priority in elderly patients or in patients with severe co morbidities.
| Vor08: Multimodality Treatment Used in Salvaging a Acute on Chronic Limb Ischemia: Case Report|| |
Dr. Sridhar.M, Prof. S. Jeyakumar, Prof. N. Sritharan, Dr. P. Ilayakumar, Dr. B. Velladurachi, Dr. Jayanth V Kumar, Dr. M. Krishna, Dr. I. Devarajan, Dr. S. Prathap Kumar
Madras Medical College, Chennai. Email: email@example.com
Introduction: Most of the patients with Acute On Chronic Limb Ischemia present at delayed stage and land up in Amputation. Here we report the use of multimodality treatment used in salvage of a limb who presented with Class III Ischemia, with multiple comorbities. Methods: Case Report of a single patient who presented with Right iliac occlusion with Chronic Kidney Disease and Coronary artery disease. Initially catheter directed thrombolysis was done. As the patient showed improvement in Ankle brachial Index, revascularization with bypass was planned. Two staged procedure, initially Aorto-iliac bypass was done, followed by a week later with femoro popliteal bypass. Results : Multimodel stepwise sequential revascularization of acute on chronic limb ischemia with multiple comorbities is a viable option and can be used selectively.
| Vor09: Wire-Interwoven Self Expanding Nitinol Stents in Patients with FemoroPopliteal Atherosclerotic Disease: Our experience.|| |
Dr. Manju Bharath N R, Dr. S. Bulsara, Dr. G. Prasad, Dr. V. Paliwal, Dr. A. Aher, Dr. A. Airen, Dr. T. Sahu, Dr. V. Sheorain, Dr. T. Grover, Dr. R. Parakh
Division of Peripheral Vascular and Endovascular Sciences, Medanta – The Medicity Hospital, Gurgaon, Haryana, India. Email: firstname.lastname@example.org
Introduction: The wire-interwoven self expanding nitinol stent system is a novel technology with braided nickel-titanium alloy (nitinol) stent that was designed to withstand the unique stressors along the course of the femoropopliteal artery. The aim of our study is to assess the primary patency of the wire-interwoven self expanding nitinol stents in the Indian population attending our medical institute with critical limb ischemia. Methods: After approval by our hospital's Ethical and Scientific Review Board, 60 patients with critical limb ischemia involving femoropopliteal segment who underwent stenting of the lesions with wire-interwoven self expanding nitinol stent system were included in the study. They were followed up at 1, 3 and 6 months postoperatively with ABI and duplex scanning from Feb 2016 to July 2017. The end point of this study was primary stent patency. Primary stent patency is defined as patent stent without significant restenosis and freedom from secondary interventions. Significant restenosis was defined as >50% based on ultrasound derived velocity parameters (peak systolic velocity ratio more than or equal to 2.0) and confirmed by angiographic estimation. Results: A total of 60 patients (54 men, six women) received wire-interwoven self expanding nitinol stents and had regular follow-up visits as part of their treatment for critical limb ischemia involving femoropopliteal segment. Primary patency rates at 6 months follow-up was 86.7%. Conclusions: Our short-term results show that wire-interwoven self-expanding nitinol stents have shown promising results in treating femoropopliteal lesions.
| Vor10: Neutrophil to Lymphocyte Ratio: a Novel Marker for Long-Term Cardiovascular Mortality in Paod|| |
Dr Vivek Vardhan JP, Dr. Chandrashekar AR, Dr. Rajendra Prasad, Dr. Sanjay C Desai
MS Ramaiah Medical College, Bangalore Email: email@example.com
Introduction: Peripheral arterial occlusive disease (PAOD), which is common among men and the elderly population, is related with increased cardiovascular mortality and morbidity. Neutrophil to lymphocyte ratio (NLR) has been found to be an independent predictor of cardiovascular mortality in atherosclerosis. The aim of the present study was to investigate the association between NLR and cardiovascular mortality both in patients with intermittent claudication and critical limb ischemia. Patients and Methods: Retrospective study, patients who had been admitted with the diagnosis of symptomatic PAOD between January 2015 and 2016 were included. Patients were divided into two groups according to their NLR as: high NLR (NLR>3.0) and low NLR (NLR≤3.0) groups. Results: Cardiovascular mortality was found to be significantly higher in elevated NLR group as compared to low NLR group. Even after adjustment of various risk factors, NLR>3 and age were found as independent predictors of long-term cardiovascular mortality in Cox regression analysis. The results of the present study will be discussed in detail at completion. Conclusion: In the present study, increased NLR was related with higher cardiovascular mortality in patients with PAOD, who were admitted with critical limb ischemia or intermittent claudication. NLR, which reflects the patient's inflammatory status, is an inexpensive and readily available biomarker that provides an additional level of risk stratification beyond that provided by conventional risk scores in predicting long-term cardiovascular mortality in PAOD.
| Vor11: Composite Graft - Alternate Configuration in a Routine Sequential Bypass|| |
Dr. Srinivasan, Dr. Saravanan Robinson, Dr. Sharmila
Department of Vascular Surgery, Madurai Medical College. Email: firstname.lastname@example.org
Introduction: Composite sequential bypass is a useful option for treatment of peripheral vascular disease when autologous vein is limited. We have tried a modified configuration in anastomosing PTFE graft and GSV graft. They are linked via a common intermediate section anastomosed to the native vessel arteriotomy in the below mentioned configuration. Aim: Retrospective and observational study of 24 cases of aorto-iliac occlusion where aorto-bifemoral to distal composite sequential by pass were done in this configuration. To analyse the outcome in perspective of graft patency and limb salvage was same compared to other configuration. Materials and Methods: 24 cases over a period of 2.5 yrs (2015 to July 2017)who were admitted in Govt Rajaji Hospital, Madurai. They were investigated and found to have aorta iliac with infrainguinal occlusions. Among them 5 cases were juxta renal and all other were infra renal occlusion. We planned for aorto-bifemoral bypass and sequential bypass to Infra Popliteal Artery on the critical limb ischemic side. Among 24 cases, for 15 cases distal target was Distal Popliteal Artery and remaining are proximal posterior tibial artery. For all cases proximal bypass was done between aorta and PTFE graft, for infra inguinal bypass GSV graft was used. Valvotomy was done and not reversed. Configuration at common femoral artery was such that 50% of PTFE hood was anastomosed to 50% of vein graft hood. Distal anastomosis was done between GSV and PTA. Conclusion: Sequential by pass done in such configuration is rare, and we achieved similar patency and limb salvagable rate compared to others.
| Vor12: Comparative Analysis of Transcutaneous Oximetry (Tcpo2) during Oxygen Inhalation and in Normal Room Temperature in Peripheral Arterial Occlusive Disease.|| |
Dr Radhika Sagar, Dr Sanjay Desai, Dr Chandrashekar, Dr Rajendra Prasad
M.S. Ramaiah Medical College and Hospital, Bangalore Email: email@example.com
Introduction: In peripheral arterial occlusive disease patients, the TcPO2 reflects local hyperemic skin blood supply. However In view of macrocirculatory pathology, tcpO2 values depend particularly on PAOD staging, hemodynamic compensation, and calf artery patency. Transcutaneous oximetry (TcPO2) performed during either oxygen inhalation and room temperature is performed individually to compare their effectiveness on patients suffering from peripheral arterial occlusive disease with or without critical limb ischemia. The aim of our study is to provide a comparative analysis of these separate entities in these patients and their subsequent outcome. Method: The TcPO2 is measured at the forefoot with the patient in supine and sitting positions while breathing room air and in supine position while inhaling 100 % oxygen. Conclusion: The measurement of transcutaneous oxygen pressure (TcPO2), a non-invasive method to quantify skin oxygenation, is particularly useful in advanced stages of arteriopathy of the lower limbs. Our study aims to combine both these limits of first supine and sitting TcPO2 in room air as well as second ankle arterial pressure and supine TcPO2.
| Vor13: Management of Delayed Presentations of Acute Limb Ischemia – a Retrospective Analysis|| |
Brijesh Kanti Biswas, V Anand
Army Hospital(R & R), New Delhi Email: firstname.lastname@example.org
The Armed Forces poses a peculiar situation for patients with acute limb ischemia as they are stationed far from the nearest Vascular Center in difficult terrains, which causes delays evacuation from days to weeks, and therefore present much later than the 'Golden period' of six hours with acute limb ischemia. We aimed to analyze whether thrombectomy can be beneficial if attempted outside the established indication of acute thrombotic occlusion. We did retrospective analysis of patients with thrombosis leading to ischemia of lower limbs over a period of two years. We concluded that late thrombectomy can be beneficial beyond classical 'Acute ischemia', guided thrombectomy should be the rule & it avoids bypass surgery in a relatively younger population.
| Vor14: Pseudoaneurysm of Anterior Tibial Artery - a Rare Case Series|| |
Sasikumar Krishnan, Prof. S. Jeyakumar, Prof. N. Sritharan, Dr. P. Ilayakumar, Dr. B. Velladuraichi, Dr. Jeyanth V Kumar, Dr. M. Krishna, Dr. I. Devarajan, Dr. S. Prathap Kumar
Madras Medical College, Chennai Email: email@example.com
Introduction: True and Pseudoaneurysm in anterior tibial artery is extremely rare, if present, patients have some causative factor like trauma, infection, inflammatory, Iatrogenic etc.. In our department, total seven patients presented with anterior tibial artery pseudoaneurysm with various causative history in last two years, treated well without any major significant complications. Methods: Prospective study, 3 - cases from Ortho Dept, 3 – cases from vascular OPD, 1 – General Surgery. Result: All seven cases recovered well with out any peripheral vascular deficit. Conclusion: Pseudoaneurysm in anterior tibial artery is extremely rare. All patient need. Surgical treatment, patients have normal posterior tibial, peroneal vessel simple ligation of ATA and excision of pseudoaneurysm is enough.