This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS

Infrapopliteal angioplasty of one or more than one artery for critical limb ischaemia: a randomised clinical trial. Eur J Vasc Endovasc Surg 2018; 55: 518-527.

Published: 9th August 2018

Authors: Biagioni RB, Biagioni LC, Nasser F, Burihan MC, Ingrund JC, Neser A et al.

Conclusion

After successful angioplasty of the worst lesion, 78 patients (80 limbs) were randomly allocated to no further procedure, or angioplasty of further lesions. Ischaemic lesions healed more quickly after multiple vessel angioplasty, but amputation rates were similar at 30 days (one in each group), but with a trend to improvement for multiple angioplasties after three years (91 versus 67 per cent, P=0.052).

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