Abstract
The interest in angioplasty of infrapopliteal arteries has remarkably increased during the last few years. Several publications have demonstrated a high efficacy and safety of an endovascular treatment of lower leg arterial disease, and clinical outcomes seem equivalent to surgical results. The development of new devices like guidewires, low-profile balloons, and stents dedicated to these arteries have probably contributed to facilitate these interventions and improved their efficacy and safety. Prerequisite to perform an endovascular treatment of the lower leg is the profound knowledge of the disease mechanisms of critical limb ischemia, below-the-knee vascular anatomy including the angiosome concept and different materials available for these interventions.
Interventional treatment of infrapopliteal arteriosclerotic disease is an attractive alternative to bypass surgery for CLI patients, which can be selected as the first-line therapy in the majority of patients. A profound knowledge of the disease mechanism, the anatomy, the angiosome concept, the large variety of interventional material, and the operator’s skills and competence are important. Because recanalization is only a single component of the treatment, a multidisciplinary team is extremely important to achieve satisfactory results in CLI patients.
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Schmidt, A., Scheinert, D. (2013). Endovascular Treatment of Below-the-Knee Arteries. In: Lanzer, P. (eds) Catheter-Based Cardiovascular Interventions. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-27676-7_55
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DOI: https://doi.org/10.1007/978-3-642-27676-7_55
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