Below the Knee Interventions in Critical Limb Ischemia

2016 ◽  
pp. 738-747
Author(s):  
Karthik Gujja ◽  
Katarzyna Nasiadko ◽  
Arthur Tarricone ◽  
Prakash Krishnan
Keyword(s):  
Critical Limb Ischemia ◽  
Limb Ischemia ◽  
Below The Knee

Use of Tapered Balloons to Recanalize Occluded Below-the-Knee Arteries in Diabetic Patients with Critical Limb Ischemia

2016 ◽  
Vol 31 ◽  
pp. 105-110
Author(s):  
Nicola Troisi ◽  
Leonardo Ercolini ◽  
Emiliano Chisci ◽  
Piefrancesco Frosini ◽  
Clara Pigozzi ◽  
...  
Keyword(s):  
Critical Limb Ischemia ◽  
Limb Ischemia ◽  
Diabetic Patients ◽  
Below The Knee

scholarly journals Preventing Leg Amputations in Critical Limb Ischemia With Below-the-Knee Drug-Eluting Stents

2010 ◽  
Vol 55 (15) ◽  
pp. 1580-1589 ◽  
Author(s):  
Andrew J. Feiring ◽  
Mari Krahn ◽  
Lori Nelson ◽  
Amy Wesolowski ◽  
Daniel Eastwood ◽  
...  
Keyword(s):  
Critical Limb Ischemia ◽  
Limb Ischemia ◽  
Drug Eluting Stents ◽  
Below The Knee ◽  
Drug Eluting

Role of Atherectomy in Below-the-Knee Vessels in Critical Limb Ischemia

2014 ◽  
pp. 331-337
Author(s):  
Jihad A. Mustapha ◽  
Larry J. Diaz-Sandoval ◽  
Fadi A. Saab
Keyword(s):  
Critical Limb Ischemia ◽  
Limb Ischemia ◽  
Below The Knee

Antegrade vs Crossover Femoral Artery Access in the Endovascular Treatment of Isolated Below-the-Knee Lesions in Patients With Critical Limb Ischemia

2017 ◽  
Vol 24 (3) ◽  
pp. 331-336 ◽  
Author(s):  
Yukun Li ◽  
Ali Esmail ◽  
Konstantinos P. Donas ◽  
Georgios Pitoulias ◽  
Giovanni Torsello ◽  
...  
Keyword(s):  
Endovascular Treatment ◽  
Success Rate ◽  
Femoral Artery ◽  
Critical Limb Ischemia ◽  
Limb Ischemia ◽  
Technical Success ◽  
Femoral Access ◽  
Technical Success Rate ◽  
Below The Knee ◽  
Antegrade Approach

Purpose: To evaluate the safety and effectiveness of antegrade vs crossover femoral artery access in the endovascular treatment of isolated below-the-knee (BTK) lesions in patients with critical limb ischemia (CLI). Methods: Between January 2014 and December 2015, 224 high-risk patients (mean age 75.8±9.8 years; 151 men) with CLI underwent infragenicular interventions on 292 crural vessels in 3 European vascular centers. All patients had isolated TransAtlantic Inter-Society Consensus (TASC) C (n=26) or D (n=198) BTK lesions. Primary endpoints were freedom from access-related complications and technical success comparing the antegrade vs crossover access groups. Results: Balloon angioplasty was the most used treatment modality (169 vessels, 75.4%). The technical success rate was 88.4% in the entire cohort and 88.0% in the antegrade group vs 90.4% in the crossover group (p>0.99). In all patients, the technical success rate was higher for stenotic lesions (100%) vs occlusions (85.5%, p=0.002) and in patients with TASC C BTK lesions (100%) vs TASC D (86.9%, p=0.033). The overall freedom from access-related complications was 97.8%: 99% in the antegrade group and 90.6% in the crossover group (p=0.022). Larger sheath size (5/6-F vs 4-F) was associated with a significantly higher risk for access-related complications (7.1% vs 1.1%, respectively; p=0.047). Conclusion: The present multicenter study showed high technical success and a low incidence of access-related complications in the treatment of isolated BTK lesions using either antegrade or crossover femoral access. The antegrade approach with the use of a 4-F system seems to have a significantly lower rate of access-related complications.

Long-Term Outcomes of Direct and Indirect Below-The-Knee Open Revascularization Based on the Angiosome Concept in Diabetic Patients with Critical Limb Ischemia

2014 ◽  
Vol 28 (4) ◽  
pp. 983-989 ◽  
Author(s):  
Anne Lejay ◽  
Yannick Georg ◽  
Elvira Tartaglia ◽  
Sébastien Gaertner ◽  
Bernard Geny ◽  
...  
Keyword(s):  
Critical Limb Ischemia ◽  
Limb Ischemia ◽  
Diabetic Patients ◽  
Long Term Outcomes ◽  
Below The Knee
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