Assessment of limb salvage in single peroneal runoff versus single tibial runoff in patients with critical limb ischemia having complex lesions

Introduction The value of peroneal artery revascularization has always been debatable, especially in patients with tissue loss. As one of the most important factors of wound healing is the establishment of in-line flow to the foot, the role of peroneal angioplasty has to be defined. Aim The aim was to assess the adequacy of single peroneal vessel runoff in endovascular revascularization of patients with TASC C-D lesion and critical limb ischemia (CLI) as infrapopliteal disease. Patients and methods This is a prospective study involving patients with TASC C-D lesions presenting with CLI along 1 year. Patients were stratified into two groups according to their runoff states. Group P includes patients with single peroneal vessel runoff, whereas group T includes patients with single tibial runoff other than peroneal. Patients with two or three vessel runoff were excluded from the study. Results The study included 180 patients, with age ranging from 42 to 86 years; 55% were male patients. Of the 180 patients, 60 patients had single peroneal vessel runoff (group P) whereas 120 patients had a single tibial runoff (group T). The mortality rate along 2 years was 10 and 5% in groups P and T, respectively. Limb salvage rate along 2 years was 68.8% in group P and 79.8% in group T (P