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. 2020 Jan 23;3(1):17-26.
doi: 10.1016/j.jimed.2020.01.002. eCollection 2020 Feb.

Endovascular treatment of diabetic foot ischemic ulcer - Technical review

Yew Toh Wong  1
Affiliations

Endovascular treatment of diabetic foot ischemic ulcer - Technical review

Yew Toh Wong. J Interv Med. .

Erratum in

Abstract

This article is a technical review of the common techniques used in the treatment of lower-limb occlusive arterial disease associated with diabetes. The techniques described here reflect the author's own practice and are methods that the author finds helpful in avoiding complications and in making the technical aspects of the procedures easier.

Keywords: AT, anterior tibial artery; Angioplasty; CFA, common femoral artery; CIA, common iliac artery; CTO, chronic total occlusion; Diabetes; Endovascular treatment; Foot ulcer; IVUS, intravascular ultrasound; Intraluminal; Ischemia; PFA, profunda femoris artery; PR, peroneal artery; PT, posterior tibial artery; Pedal arch; Perfusion; Retrograde access; SFA, superficial femoral artery; Stenting; Subintimal.

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Figures

Fig. 1
Fig. 1
Ultrasound and linear probe used in lower-limb arterial intervention.
Fig. 2
Fig. 2
Anatomical variations of popliteal trifurcation reproduced with permission from Demirtas, H., et al., Anatomic variations of popliteal artery: Evaluation with 128-section CT-angiography in 1261 lower limbs. Diagn Interv Imaging, 2016. 97(6): p. 635–42. Copyright © 2016 Elsevier Masson SAS. All rights reserved.
Fig. 3
Fig. 3
Chronic total occlusion (CTO) cap analysis.
Fig. 4
Fig. 4
Antegrade femoral access with the double-wire technique.
Fig. 5
Fig. 5
Shaping the wire tip.
Fig. 6
Fig. 6
Catheter system used for CTO crossing.
Fig. 7
Fig. 7
Re-entry into the distal true lumen (snare loop puncture technique).
Fig. 8
Fig. 8
Re-entry into the distal true lumen (gun-sight technique).
See this image and copyright information in PMC

References

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