Endovascular Treatment of the Infrapopliteal Arteries in Hemodialysis Patients with Critical Limb Ischemia: Is it Justified?

2014 ◽  
Vol 28 (1) ◽  
pp. 152-158 ◽  
Author(s):  
Claudio Bianchini Massoni ◽  
Antonio Freyrie ◽  
Natascia Muccini ◽  
Mauro Gargiulo ◽  
GianLuca Faggioli ◽  
...  
Keyword(s):  
Endovascular Treatment ◽  
Critical Limb Ischemia ◽  
Limb Ischemia ◽  
Hemodialysis Patients ◽  
Infrapopliteal Arteries

scholarly journals Prognostic Factors in Hemodialysis Patients Undergoing Endovascular Treatment for Critical Limb Ischemia due to Isolated Below-the-Knee Disease

2015 ◽  
Vol 22 (4) ◽  
pp. 404-414 ◽  
Author(s):  
Nobuhiro Suematsu ◽  
Osamu Iida ◽  
Mitsuyoshi Takahara ◽  
Yasutaka Yamauchi ◽  
Yoshimitsu Soga ◽  
...  
Keyword(s):  
Prognostic Factors ◽  
Endovascular Treatment ◽  
Critical Limb Ischemia ◽  
Limb Ischemia ◽  
Hemodialysis Patients ◽  
Below The Knee

scholarly journals Number of infrapopliteal arteries undergoing endovascular treatment is not associated with the limb salvage rate in patients with critical limb ischemia

2016 ◽  
Vol 64 (5) ◽  
pp. 1344-1350 ◽  
Author(s):  
Rafael de Athayde Soares ◽  
Marcelo Fernando Matielo ◽  
Francisco Cardoso Brochado Neto ◽  
Marcus Vinícius Martins Cury ◽  
Régis Campos Marques ◽  
...  
Keyword(s):  
Endovascular Treatment ◽  
Limb Salvage ◽  
Critical Limb Ischemia ◽  
Limb Ischemia ◽  
Limb Salvage Rate ◽  
Infrapopliteal Arteries ◽  
Salvage Rate

scholarly journals Use of the Wound, Ischemia, foot Infection classification system in hemodialysis patients after endovascular treatment for critical limb ischemia

2018 ◽  
Vol 67 (6) ◽  
pp. 1762-1768 ◽  
Author(s):  
Takahiro Tokuda ◽  
Keisuke Hirano ◽  
Yasunari Sakamoto ◽  
Shisuke Mori ◽  
Norihiro Kobayashi ◽  
...  
Keyword(s):  
Endovascular Treatment ◽  
Critical Limb Ischemia ◽  
Classification System ◽  
Limb Ischemia ◽  
Hemodialysis Patients

Safety and Effectiveness of Retrograde Arterial Access for Endovascular Treatment of Critical Limb Ischemia

2019 ◽  
Vol 55 ◽  
pp. 131-137 ◽  
Author(s):  
Jordan R. Stern ◽  
Danielle E. Cafasso ◽  
Peter H. Connolly ◽  
Sharif H. Ellozy ◽  
Darren B. Schneider ◽  
...  
Keyword(s):  
Endovascular Treatment ◽  
Critical Limb Ischemia ◽  
Limb Ischemia ◽  
Arterial Access

Antegrade vs Crossover Femoral Artery Access in the Endovascular Treatment of Isolated Below-the-Knee Lesions in Patients With Critical Limb Ischemia

2017 ◽  
Vol 24 (3) ◽  
pp. 331-336 ◽  
Author(s):  
Yukun Li ◽  
Ali Esmail ◽  
Konstantinos P. Donas ◽  
Georgios Pitoulias ◽  
Giovanni Torsello ◽  
...  
Keyword(s):  
Endovascular Treatment ◽  
Success Rate ◽  
Femoral Artery ◽  
Critical Limb Ischemia ◽  
Limb Ischemia ◽  
Technical Success ◽  
Femoral Access ◽  
Technical Success Rate ◽  
Below The Knee ◽  
Antegrade Approach

Purpose: To evaluate the safety and effectiveness of antegrade vs crossover femoral artery access in the endovascular treatment of isolated below-the-knee (BTK) lesions in patients with critical limb ischemia (CLI). Methods: Between January 2014 and December 2015, 224 high-risk patients (mean age 75.8±9.8 years; 151 men) with CLI underwent infragenicular interventions on 292 crural vessels in 3 European vascular centers. All patients had isolated TransAtlantic Inter-Society Consensus (TASC) C (n=26) or D (n=198) BTK lesions. Primary endpoints were freedom from access-related complications and technical success comparing the antegrade vs crossover access groups. Results: Balloon angioplasty was the most used treatment modality (169 vessels, 75.4%). The technical success rate was 88.4% in the entire cohort and 88.0% in the antegrade group vs 90.4% in the crossover group (p>0.99). In all patients, the technical success rate was higher for stenotic lesions (100%) vs occlusions (85.5%, p=0.002) and in patients with TASC C BTK lesions (100%) vs TASC D (86.9%, p=0.033). The overall freedom from access-related complications was 97.8%: 99% in the antegrade group and 90.6% in the crossover group (p=0.022). Larger sheath size (5/6-F vs 4-F) was associated with a significantly higher risk for access-related complications (7.1% vs 1.1%, respectively; p=0.047). Conclusion: The present multicenter study showed high technical success and a low incidence of access-related complications in the treatment of isolated BTK lesions using either antegrade or crossover femoral access. The antegrade approach with the use of a 4-F system seems to have a significantly lower rate of access-related complications.

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