Single versus Multiple Vessel Endovascular Tibial Artery Revascularization for Critical Limb Ischemia: A Review of the Literature
- PMID: 33132674
- PMCID: PMC7581462
- DOI: 10.1055/s-0040-1714662
Single versus Multiple Vessel Endovascular Tibial Artery Revascularization for Critical Limb Ischemia: A Review of the Literature
Abstract
Vascular interventionalists have long debated on whether one or multiple patent tibial arteries (run-off) are necessary to treat critical limb ischemia, including ischemic rest pain and tissue loss. This review article seeks to clarify data surrounding this topic by including literature from retrospective studies, prospective studies, meta-analyses, and randomized controlled trials. Our conclusion is that revascularizing a single tibial artery to the foot is adequate for wound healing.
Keywords: artery; atherosclerosis; endovascular procedure; lower extremity; stent; tibial; tibioperoneal angioplasty.
Thieme. All rights reserved.
Conflict of interest statement
Conflict of Interest None declared.
Similar articles
-
Endovascular reconstruction of popliteal and infrapopliteal arteries for limb salvage and wound healing in patients with critical limb ischemia - A retrospective analysis.Indian Heart J. 2016 Jan-Feb;68(1):77-82. doi: 10.1016/j.ihj.2015.07.024. Epub 2016 Jan 18. Indian Heart J. 2016. PMID: 26896272 Free PMC article.
-
Staged endovascular repair of critical limb ischemia in high risk patients: the procedural and clinical outcomes.Int Angiol. 2018 Feb;37(1):52-58. doi: 10.23736/S0392-9590.17.03840-8. Epub 2017 Sep 7. Int Angiol. 2018. PMID: 28884985
-
Effect of systemic urokinase infusion after lower limb percutaneous transluminal angioplasty on limb salvage rate in patients with late-stage critical limb ischemia.Eur J Vasc Endovasc Surg. 2014 Oct;48(4):414-22. doi: 10.1016/j.ejvs.2014.04.006. Epub 2014 Jun 28. Eur J Vasc Endovasc Surg. 2014. PMID: 24984839 Clinical Trial.
-
Endovascular treatment of critical ischemia in the diabetic foot: new thresholds, new anatomies.Angiology. 2013 Nov;64(8):583-91. doi: 10.1177/0003319712465172. Epub 2012 Nov 4. Angiology. 2013. PMID: 23129734 Review.
-
A systematic review and meta-analysis of revascularization outcomes of infrainguinal chronic limb-threatening ischemia.Eur J Vasc Endovasc Surg. 2019 Jul;58(1S):S110-S119. doi: 10.1016/j.ejvs.2019.04.013. Epub 2019 Jun 17. Eur J Vasc Endovasc Surg. 2019. PMID: 31221539
Cited by
-
Poor inter-observer agreement in anatomical classifications of infrapopliteal arterial disease due to mandatory selection of only one target artery.Acta Radiol. 2023 Mar;64(3):1298-1306. doi: 10.1177/02841851221102788. Epub 2022 May 26. Acta Radiol. 2023. PMID: 35619547 Free PMC article.
References
-
- Raffetto J D, Montgomery J E, Eberhardt R T, LaMorte W W, Menzoian J O. Differences in risk factors for lower extremity arterial occlusive disease. J Am Coll Surg. 2005;201(06):918–924. - PubMed
-
- Abularrage C J, Conrad M F, Haurani M J. Long-term outcomes of patients undergoing endovascular infrainguinal interventions with single-vessel peroneal artery runoff. J Vasc Surg. 2011;53(04):1007–1013. - PubMed
-
- Jemal A, Ward E, Hao Y, Thun M. Trends in the leading causes of death in the United States, 1970-2002. JAMA. 2005;294(10):1255–1259. - PubMed
-
- Adam D J, Beard J D, Cleveland T.Bypass versus angioplasty in severe ischaemia of the leg (BASIL): multicentre, randomised controlled trial Lancet 2005366(9501):1925–1934. - PubMed
-
- Romiti M, Albers M, Brochado-Neto F C, Durazzo A ES, Pereira C AB, De Luccia N. Meta-analysis of infrapopliteal angioplasty for chronic critical limb ischemia. J Vasc Surg. 2008;47(05):975–981. - PubMed
Publication types
LinkOut - more resources
Full Text Sources