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Transluminal Angioplasty of Peroneal Artery Branches in Diabetics: Initial Technical Experience

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Abstract

The present study aimed to report the technical feasibility of percutaneous transluminal angioplasty (PTA) of obstructed or insufficient collateral branches (anterior and posterior perforating branches) from distal peroneal to foot arteries in diabetic patients with chronic critical limb ischemia (CLI) and chronic noncrossable occlusion of the anterior and posterior tibial arteries. Twenty-four diabetic CLI patients (age, 67 ± 8 years; 87% males) undergoing collateral PTA were included. Baseline clinical angiographic and follow-up data were retrospectively reviewed. Collateral PTA was associated with a concomitant PTA of other sites in 21 (83%) cases. In 15 cases the treated collateral linked the peroneal with the plantaris communis; in 9 cases, the peroneal with the dorsalis pedis. Angiographic results of collateral PTA were good in 13 cases (<30% residual stenosis), whereas the result was considered moderate (30%–49% residual stenosis) in the remaining cases. Neither perforation nor acute occlusion of the treated collaterals or other relevant complications were observed. Mean follow-up was 32 ± 17 months. Major amputation was necessary for two (8.3%) patients. Cumulative limb salvage rates at 2 and 4 years were 96% and 87%, respectively. In conclusion, this initial experience shows that PTA of the collateral branches from distal peroneal to foot arteries is a feasible technique. Future studies are required to define the clinical role of this novel approach.

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Authors and Affiliations

  1. Servizio di Emodinamica, Istituto Clinico Città di Brescia, Via Gualla 15, 25123, Brescia, Italy

    Lanfroi Graziani, Antonio Silvestro & Francesco Kokaly

  2. SC Malattie Metaboliche e Diabetologia, Centro Traumatologico Ortopedico CTO, Torino, Italy

    Luca Monge & Gian Mario Boffano

  3. Servizio di Diabetologia e Malattie del Metabolismo, Ospedale di Lucca, Lucca, Italy

    Ilaria Casadidio & Francesco Giannini

Authors
  1. Lanfroi Graziani
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  2. Antonio Silvestro
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  3. Luca Monge
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  4. Gian Mario Boffano
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  5. Francesco Kokaly
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  6. Ilaria Casadidio
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  7. Francesco Giannini
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Correspondence to Lanfroi Graziani.

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Graziani, L., Silvestro, A., Monge, L. et al. Transluminal Angioplasty of Peroneal Artery Branches in Diabetics: Initial Technical Experience. Cardiovasc Intervent Radiol 31, 49–55 (2008). https://doi.org/10.1007/s00270-007-9214-3

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  • DOI: https://doi.org/10.1007/s00270-007-9214-3

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