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Minimally Invasive Arterial Interventions for Wounds

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Interventional Treatment of Wounds

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Abstract

Critical limb ischemia (CLI) refers to rest pain or ulceration/gangrene that develops in the extremities from extensive peripheral atherosclerosis. Open bypass surgery has long been the gold standard technique to offer revascularization and limb salvage to these often ill and complex patients. However, over the last several decades, a minimally invasive technique based on the intra-arterial use of wires and catheters has been developed which has revolutionized the way CLI is treated. Currently, numerous endoluminal treatment strategies exist, including balloon angioplasty, stenting, and atherectomy, which can generate reasonable limb salvage rates. More research is necessary, however, to identify which device is optimal with regard to durability and costs as well as which patients should undergo endovascular surgery as opposed to a bypass.

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Authors and Affiliations

  1. Division of Vascular and Endovascular Surgery, Brigham and Women’s Hospital, Boston, MA, USA

    Dean J. Arnaoutakis MD, MBA & Edwin C. Gravereaux MD

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  1. Dean J. Arnaoutakis MD, MBA
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  2. Edwin C. Gravereaux MD
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Correspondence to Dean J. Arnaoutakis MD, MBA .

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Editors and Affiliations

  1. Division of Plastic Surgery, Brigham and Women’s Hospital Harvard Medical School, Boston, Massachusetts, USA

    Dennis P. Orgill

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Arnaoutakis, D.J., Gravereaux, E.C. (2018). Minimally Invasive Arterial Interventions for Wounds. In: Orgill, D. (eds) Interventional Treatment of Wounds. Springer, Cham. https://doi.org/10.1007/978-3-319-66990-8_15

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  • DOI: https://doi.org/10.1007/978-3-319-66990-8_15

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-66989-2

  • Online ISBN: 978-3-319-66990-8

  • eBook Packages: MedicineMedicine (R0)

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