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Review
. 2014 Dec;31(4):370-4.
doi: 10.1055/s-0034-1393974.

Treatment of infrapopliteal arterial occlusive disease in critical limb ischemia

Affiliations
Review

Treatment of infrapopliteal arterial occlusive disease in critical limb ischemia

Brian M Christenson et al. Semin Intervent Radiol. 2014 Dec.
No abstract available

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Figures

Figure 1
Figure 1
(A) Popliteal arteriogram reveals an occlusion in the distal popliteal artery (arrow). The distal popliteal artery occlusion is crossed with a V18 wire and 0.018-in Quick Cross catheter, and the catheter is advanced into the posterior tibial artery. Contrast injection (B) confirms catheter location across the occlusion within the posterior tibial artery. (C) Angioplasty of the distal popliteal artery and the posterior tibial artery is performed with a low-profile 2.5-mm balloon. Postangioplasty arteriogram (D) reveals improved flow across the infrapopliteal stenosis, with persistent luminal narrowing (arrow). (E) A balloon expandable stent is advanced to the location of the residual infrapopliteal arterial stenosis (arrow). The stent is deployed, and postdeployment arteriogram (F) reveals significantly improved luminal diameter and flow through the distal popliteal and proximal posterior tibial artery with decreased filling of collateral arteries.

References

    1. Norgren L, Hiatt W R, Dormandy J A. et al.TASC II Working Group. Inter-Society Consensus for the management of peripheral arterial disease (TASC II) Eur J Vasc Endovasc Surg. 2007;33 01:S1–S75. - PubMed
    1. Hirsch A T, Haskal Z J, Hertzer N R. ACC/AHA 2005 guidelines for the management of patients with peripheral arterial disease (lower extermity, renal, mesenteric, and abdominal aortic): executive summary: a collaborative report from the American Association for Vascular Surgery/Society for Vascular Surgery, Society for Cardiovascular Angiography and Interventions, Society for Vascular Medicine and Biology, Society of Interventional Radiology, and the ACC/AHA Task Force on Practice Guidelines (Writing Committee to Develop Guidelines for the Management of Patients With Peripheral Arterial Disease) J Am Coll Cardiol. 2006;47:1239–1312. - PubMed
    1. Romiti M, Albers M, Brochado-Neto F C, Durazzo A E, Pereira C A, De Luccia N. Meta-analysis of infrapopliteal angioplasty for chronic critical limb ischemia. J Vasc Surg. 2008;47(5):975–981. - PubMed
    1. Spinosa D J, Harthun N L, Bissonette E A. et al.Subintimal arterial flossing with antegrade-retrograde intervention (SAFARI) for subintimal recanalization to treat chronic critical limb ischemia. J Vasc Interv Radiol. 2005;16(1):37–44. - PubMed
    1. Martens J M, Knippenberg B, Vos J A, de Vries J P, Hansen B E, van Overhagen H. PADI Trial Group . Update on PADI trial: percutaneous transluminal angioplasty and drug-eluting stents for infrapopliteal lesions in critical limb ischemia. J Vasc Surg. 2009;50(3):687–689. - PubMed