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Subject Area

Surgery

Article Type

Original Study

Abstract

Objectives: to compare the clinical outcomes of single-vessel versus multiple-vessel infrapopliteal interventions in patients diagnosed with critical limb ischemia (CLI) undergoing infrapopliteal revascularization. Background: Critical limb ischemia is a severe condition requiring revascularization procedures to restore blood flow. The choice between single-vessel and multiple-vessel interventions remains debatable. Understanding the clinical outcomes associated with each approach can guide treatment decisions and optimize patient care. Methods: A prospective study was conducted on 60 adult patients diagnosed with CLI who underwent infrapopliteal revascularization between January 2021 and January 2023. Single-vessel interventions were performed on 30 patients, while multiple-vessel interventions were performed on the remaining 30 patients. Outcome measures included perioperative complications, wound healing, re-intervention, major amputation, stenosis, and mortality. Results: Among the 60 patients included in the study, the mean age was 61.7 years, with a male predominance (58%). The most common comorbidities were hypertension (73%) and diabetes mellitus (68%). Postoperative complications occurred in 12% of patients, and incomplete wound healing was observed in approximately 60% of cases. There were no significant differences in outcomes between the single-vessel and multiple-vessel groups. Conclusion: Single-vessel and multiple-vessel infrapopliteal interventions yielded similar results in terms of perioperative complications, wound healing, re-intervention, major amputation, stenosis, and mortality rates. Individualized treatment decisions should be based on anatomical and clinical assessments of each patient. Further research with larger sample sizes is warranted to confirm these findings and guide treatment strategies for patients with CLI.

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