Balloon Angioplasty in Tibioperoneal Interventions for Patients With Critical Limb Ischemia

Tibial arterial disease represents the final frontier in the battle against critical limb ischemia (CLI). Isolated infrapopliteal (IP) disease is mainly seen in the elderly (>80 years old), diabetic, and dialysis-dependent patients with CLI. With the development and evolution of catheter-based te...

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Bibliographic Details
Published in:Techniques in vascular and interventional radiology 2014-09, Vol.17 (3), p.183-196
Main Authors: Mustapha, J.A., MD, Diaz-Sandoval, Larry J., MD
Format: Article
Language:English
Subjects:
Angiography - methods
Angioplasty, Balloon - instrumentation
Angioplasty, Balloon - methods
Critical limb ischemia
Endovascular interventions
Hematology, Oncology and Palliative Medicine
Humans
Infrapopliteal angioplasty
Infrapopliteal atherectomy
Infrapopliteal disease
Ischemia - diagnostic imaging
Ischemia - therapy
Leg - blood supply
Leg - diagnostic imaging
Peripheral Arterial Disease - diagnostic imaging
Peripheral Arterial Disease - therapy
Popliteal Artery - diagnostic imaging
Popliteal Artery - surgery
Radiography, Interventional - methods
Radiology
Surgery, Computer-Assisted - methods
Tibial Arteries - diagnostic imaging
Tibial Arteries - surgery
Tibioperoneal interventions
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Summary:Tibial arterial disease represents the final frontier in the battle against critical limb ischemia (CLI). Isolated infrapopliteal (IP) disease is mainly seen in the elderly (>80 years old), diabetic, and dialysis-dependent patients with CLI. With the development and evolution of catheter-based technology, endovascular therapy (mainly balloon angioplasty) has become the method of choice for revascularization in these patients. The most common challenges are the severely calcified lesion recalcitrant to dilation (as calcium is heterogeneously distributed in the arterial wall) and the long tibial chronic total occlusions. Percutaneous transluminal angioplasty achieves a technically successful result (
ISSN:1089-2516
1557-9808
DOI:10.1053/j.tvir.2014.08.007