Modern strategy about endovascular surgery in the treatment of extremity ischaemiaZHANG Fuxian,ZHAO Yongheng,YANwei,et al.Department of Vascular Surgery,Beijing Shijitan Hospital，Beijing 100038,China Corresponding author：ZHANG Fuxian，Email:fuxian@263.net AbstractObjectiveTo probe into the usefulness as the first-choice by endovascular surgery in the treatment of extremity ischaemia.MethodsMethods From January 2006 to March 2008,70 patients of extremity ischaemia were treated by endovascular surgery with combine traditional surgery as the firstchoice at Beijing Shijitan Hospital.The age range was from 58 to 83 years and the mean was 73 years.Male with Female was 4∶1.In all 70 patients,there were claudication at the 80% and the most short distance was 20m,rest pain at the 30%,ulcer and necrosis of foots at 10%.All 70 patients were examinated by extremity vascular ultrasound,MRA,angiography and ABI.Stenosis or occlusion of vascular at more than two sites were occurred in 63 patients (90%) and below articular genu in 56 patients（80%）.The mean ABI was 058 before the treatment.ResultsThe success rate of treatment was 92% in all 70 patients. There were excellent at 39 (56%) patients,good at 28（40%）patients,general at 3（4%） patients and neither bad nor death patients. Complication incidence was 7%.The mean ABI was 090 after treatment and increased 032.One year’s patency rate was 86%，and restenosis incidence was 6%.ConclusionEndovascular surgery as the first choice combined with traditional surgery revascularisation procedure is feasible,safe and effective for treatment of extremity ischaemia.It can be repeated in most cases successfully.Complications and restenosis are infrequent events.It is worthy of being recommendation in clinical.