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Re-Opening Leg Arteries: Approach to Chronic Total Occlusion

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Limb Salvage of the Diabetic Foot

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Abstract

CTO lesions frequently show neovascularization and the formation of recanalization microchannels that run parallel to the occluded vessel. Revascularization may be surgical or endovascular and choosing the optimal method involves consideration of both patient and anatomical factors. Patient factors include the symptomology at presentation (Rutherford classification), surgical risk, medical comorbidities, and availability of conduit if surgical management is considered. Anatomical considerations include the burden of disease, vascular anatomy with regard to inflow and runoff, and the degree of calcification.

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Authors and Affiliations

  1. Cardiovascular Disease, Yale New Haven Hospital, New Haven, CT, USA

    Samit M. Shah

  2. Department of Medicine, Section of Cardiovascular Medicine, Yale New Haven Hospital, New Haven, CT, USA

    Carlos Mena-Hurtado

Authors
  1. Samit M. Shah
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Correspondence to Carlos Mena-Hurtado .

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Editors and Affiliations

  1. King’s College Hospital, London, UK

    Michael E. Edmonds

  2. School of Medicine, Yale University, New Haven, CT, USA

    Bauer E. Sumpio

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Shah, S.M., Mena-Hurtado, C. (2019). Re-Opening Leg Arteries: Approach to Chronic Total Occlusion. In: Edmonds, M., Sumpio, B. (eds) Limb Salvage of the Diabetic Foot. Springer, Cham. https://doi.org/10.1007/978-3-319-17918-6_23

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  • DOI: https://doi.org/10.1007/978-3-319-17918-6_23

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-17917-9

  • Online ISBN: 978-3-319-17918-6

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