Techniques and outcomes for endovascular treatment in the tibial arteries

Interventional therapy for tibial arteries is a key part of the vascular specialist armamentarium. Tibial artery interventional therapy has been proven to lead to limb salvage with low morbidity and mortality in patients with critical limb ischemia and should be used as a first line treatment mode i...

Full description

Saved in:
Bibliographic Details
Published in:Journal of vascular surgery 2009-11, Vol.50 (5), p.1219-1223
Main Author: Lyden, Sean P., MD
Format: Article
Language:English
Subjects:
Angioplasty, Balloon - adverse effects
Angioplasty, Balloon - instrumentation
Anticoagulants - therapeutic use
Arterial Occlusive Diseases - complications
Arterial Occlusive Diseases - diagnostic imaging
Arterial Occlusive Diseases - physiopathology
Arterial Occlusive Diseases - therapy
Biological and medical sciences
Constriction, Pathologic
Diseases of the cardiovascular system
Humans
Ischemia - diagnostic imaging
Ischemia - etiology
Ischemia - physiopathology
Ischemia - therapy
Limb Salvage
Medical sciences
Patient Selection
Prosthesis Design
Radiography
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Regional Blood Flow
Stents
Surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Tibial Arteries - diagnostic imaging
Tibial Arteries - physiopathology
Time Factors
Treatment Outcome
Vascular Patency
Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels
Vasodilator Agents - therapeutic use
Wound Healing
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Interventional therapy for tibial arteries is a key part of the vascular specialist armamentarium. Tibial artery interventional therapy has been proven to lead to limb salvage with low morbidity and mortality in patients with critical limb ischemia and should be used as a first line treatment mode in the majority of patients, especially in those with significant medical comorbidities. The exceptions are the patients with extensive tissue loss and infection, where endovascular therapy may not restore enough flow to achieve rapid healing and limb salvage, and those patients with tissue loss in the setting extensive, multi-level, occlusive disease, where patency to the completion of wound healing will be unlikely. However, differences in outcome between available devices are unknown and ways to increase long term patency remain poorly defined.
ISSN:0741-5214
1097-6809
DOI:10.1016/j.jvs.2009.02.019