scholarly journals LONG-TERM EFFICACY OF ENDOVASCULAR TREATMENT FOR PATIENTS WITH CRITICAL LIMB ISCHEMIA DUE TO ISOLATED BELOW THE KNEE LESIONS

2012 ◽  
Vol 59 (13) ◽  
pp. E2048 ◽  
Author(s):  
Kiyonori Nanto ◽  
Osamu iida ◽  
Yoshimitsu Soga ◽  
Kenji Suzuki ◽  
Terutoshi Yamaoka ◽  
...  
Keyword(s):  
Endovascular Treatment ◽  
Critical Limb Ischemia ◽  
Limb Ischemia ◽  
Term Efficacy ◽  
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

scholarly journals Prognostic Factors in Hemodialysis Patients Undergoing Endovascular Treatment for Critical Limb Ischemia due to Isolated Below-the-Knee Disease

2015 ◽  
Vol 22 (4) ◽  
pp. 404-414 ◽  
Author(s):  
Nobuhiro Suematsu ◽  
Osamu Iida ◽  
Mitsuyoshi Takahara ◽  
Yasutaka Yamauchi ◽  
Yoshimitsu Soga ◽  
...  
Keyword(s):  
Prognostic Factors ◽  
Endovascular Treatment ◽  
Critical Limb Ischemia ◽  
Limb Ischemia ◽  
Hemodialysis Patients ◽  
Below The Knee

Infrainguinal Arterial Procedures

2018 ◽  
Author(s):  
Amy B. Reed
Keyword(s):  
Lower Extremity ◽  
Critical Limb Ischemia ◽  
Treatment Modality ◽  
Limb Ischemia ◽  
New Techniques ◽  
Below The Knee ◽  
Literature Reviews ◽  
Graft Length ◽  
Over Time

Even in the endovascular era, infrainguinal arterial bypass remains a mainstay in a vascular surgeon’s armamentarium for treating patients with claudication or critical limb ischemia. New techniques include hybrid endovascular and open options to treat those patients with limited autogenous conduit or to simply decrease graft length to help minimize risk of stenosis long term. Over time, the perceived notions of distal vein cuffs and use of prosthetic below the knee have been modified with extensive registry and literature reviews, making lower extremity bypass an ever-changing treatment modality. Key words: duplex mapping, femoral tibial artery exposure, hybrid, vein harvest This review contains 17 figures, and 77 references.

scholarly journals LONG-TERM MORTALITY AFTER ENDOVASCULAR TREATMENT FOR CRITICAL LIMB ISCHEMIA WITH TISSUE LOSS

2010 ◽  
Vol 55 (10) ◽  
pp. A213.E2018
Author(s):  
Osami Kawarada ◽  
Yoshiaki Yokoi ◽  
Nobuyuki Morioka ◽  
Akihiro Higashimori ◽  
Shinji Shiotani
Keyword(s):  
Endovascular Treatment ◽  
Critical Limb Ischemia ◽  
Limb Ischemia ◽  
Tissue Loss ◽  
Long Term Mortality

Infrainguinal Arterial Procedures

2018 ◽  
Author(s):  
Amy B. Reed
Keyword(s):  
Lower Extremity ◽  
Critical Limb Ischemia ◽  
Treatment Modality ◽  
Limb Ischemia ◽  
New Techniques ◽  
Below The Knee ◽  
Literature Reviews ◽  
Graft Length ◽  
Over Time

Even in the endovascular era, infrainguinal arterial bypass remains a mainstay in a vascular surgeon’s armamentarium for treating patients with claudication or critical limb ischemia. New techniques include hybrid endovascular and open options to treat those patients with limited autogenous conduit or to simply decrease graft length to help minimize risk of stenosis long term. Over time, the perceived notions of distal vein cuffs and use of prosthetic below the knee have been modified with extensive registry and literature reviews, making lower extremity bypass an ever-changing treatment modality. Key words: duplex mapping, femoral tibial artery exposure, hybrid, vein harvest This review contains 17 figures, and 77 references.

Sign in / Sign up

Export Citation Format

Share Document