Paradigm shift in management of critical lower limb ischemia in the 21st century: randomization of chronic limb ischemia patients with Trans-Atlantic Inter-Societal Concensus C and D lesions to subintimal angioplasty or bypass surgery in concurrence to plaque echolucency in the femoropopliteal segment: the 5-year Irish trial

2008 ◽  
Vol 9 (2) ◽  
pp. 125-126
Author(s):  
N Hynes ◽  
S Sultan
Keyword(s):  
21St Century ◽  
Lower Limb ◽  
Paradigm Shift ◽  
Bypass Surgery ◽  
Limb Ischemia ◽  
Subintimal Angioplasty ◽  
Lower Limb Ischemia ◽  
Chronic Limb Ischemia

scholarly journals Bypass Surgery With Heparin-Bonded Grafts for Chronic Lower Limb Ischemia

2017 ◽  
Vol 66 (4) ◽  
pp. 1303-1304
Author(s):  
S.L. McAnelly ◽  
S. Hajibandeh ◽  
S. Hajibandeh ◽  
G.S. Georgiadis ◽  
S.A. Antoniou ◽  
...  
Keyword(s):  
Lower Limb ◽  
Bypass Surgery ◽  
Limb Ischemia ◽  
Lower Limb Ischemia

Clinical Outcome of Primary Infrainguinal Subintimal Angioplasty in Diabetic Patients With Critical Lower Limb Ischemia

2004 ◽  
Vol 11 (4) ◽  
pp. 447-453 ◽  
Author(s):  
Andreas M. Lazaris ◽  
Achilleas C. Tsiamis ◽  
Guy Fishwick ◽  
Amman Bolia ◽  
Peter R. F. Bell
Keyword(s):  
Clinical Outcome ◽  
Lower Limb ◽  
Limb Ischemia ◽  
Diabetic Patients ◽  
Subintimal Angioplasty ◽  
Lower Limb Ischemia

Bypass Surgery versus Endovascular Therapy for Lower Limb Ischemia Due to Infragenicular Lesions

2021 ◽  
Vol 85 (1) ◽  
pp. 3179-3184
Author(s):  
Abraheem Mohammed Khoujah ◽  
Khaled Safwat Fahmi ◽  
Ayman Abd Elhamid Salem ◽  
Mohammed Ahmed Effat
Keyword(s):  
Endovascular Therapy ◽  
Lower Limb ◽  
Bypass Surgery ◽  
Limb Ischemia ◽  
Lower Limb Ischemia

scholarly journals Subintimal Angioplasty in the Treatment of Chronic Lower Limb Ischemia

2006 ◽  
Vol 7 (2) ◽  
pp. 131 ◽  
Author(s):  
Sung Ki Cho ◽  
Young Soo Do ◽  
Sung Wook Shin ◽  
Kwang Bo Park ◽  
Dong-Ik Kim ◽  
...  
Keyword(s):  
Lower Limb ◽  
Limb Ischemia ◽  
Subintimal Angioplasty ◽  
Lower Limb Ischemia

Bypass Surgery With Heparin-Bonded Grafts for Chronic Lower Limb Ischemia

2017 ◽  
Vol 43 ◽  
pp. 328-346 ◽  
Author(s):  
Sarah-Louise McAnelly ◽  
Shahin Hajibandeh ◽  
Shahab Hajibandeh ◽  
George S. Georgiadis ◽  
Stavros A. Antoniou ◽  
...  
Keyword(s):  
Lower Limb ◽  
Bypass Surgery ◽  
Limb Ischemia ◽  
Lower Limb Ischemia

Subintimal Angioplasty of Isolated Infragenicular Vessels in Lower Limb Ischemia: Long-term Results

2002 ◽  
Vol 9 (4) ◽  
pp. 411-416 ◽  
Author(s):  
Hemant Ingle ◽  
Ahktar Nasim ◽  
Amman Bolia ◽  
Guy Fishwick ◽  
Ross Naylor ◽  
...  
Keyword(s):  
Lower Limb ◽  
Clinical Success ◽  
Limb Ischemia ◽  
Long Term Results ◽  
Peroneal Artery ◽  
Anterior Tibial Artery ◽  
Technical Failure ◽  
Subintimal Angioplasty ◽  
Lower Limb Ischemia ◽  
Tibial Artery

Purpose: To assess the outcome of subintimal angioplasty in treating isolated infragenicular arterial disease in patients with severe lower limb ischemia. Methods: A retrospective study reviewed 67 consecutive patients (39 men; mean age 76 years, range 41–96) who underwent infragenicular subintimal angioplasty between March 1997 and May 2000 for ischemia in 70 limbs. The median length of occlusion was 6 cm (range 1–10) in the below-knee popliteal arteries, 4 cm (range 1–4) in the tibioperoneal trunk, 21 cm(range 1–35) in the anterior tibial artery, 10 (1–30) in the posterior tibial artery, and 5 (range 1–20) in the peroneal artery. Results: The technical and clinical success rates were 86% and 80%, respectively. In the 10 (14%) patients with a technical failure, 3 underwent successful bypass, 4 had an amputation, 1 had a lumbar sympathectomy, and 2 were treated conservatively. Of the 4 (6%) limbs that did not achieve clinical success, 2 patients required femorodistal bypass and their ulcers improved; in the other 2, ulcerations did not heal completely. The cumulative limb salvage rate and freedom from critical limb ischemia (CLI) quantified by Kaplan-Meier life-table analysis were 94% and 84% at 36 months. Mortality rates were 19% at 1 year, 43% at 2 years, and 51% at 3 years. In a subgroup analysis, the rate of CLI was significantly lower in nondiabetics (4%) and than in diabetics (24%, p=0.02), but neither survival nor amputation rates were significantly different. Conclusions: Subintimal angioplasty is a safe and effective procedure for treating isolated crural vessels in patients with severe lower limb ischemia.

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