scholarly journals Assessment of Endovascular Treatment of Tibial Artery Occlusion in Diabetic Patients

2018 ◽  
Vol 72 (3) ◽  
pp. 4104-4108
Author(s):  
Mohamed Abdel-Hamid Mohamed Moukhtar Abdel-Fattah Elbanwany
Keyword(s):  
Endovascular Treatment ◽  
Artery Occlusion ◽  
Diabetic Patients ◽  
Tibial Artery ◽  
Tibial Artery Occlusion

Collateral circulation between angiosomes in the feet of diabetic patients

Vascular ◽  
2018 ◽  
Vol 26 (4) ◽  
pp. 432-439 ◽  
Author(s):  
Erkan Orhan ◽  
Ömer Özçağlayan
Keyword(s):  
Collateral Circulation ◽  
Posterior Tibial Artery ◽  
Artery Occlusion ◽  
Peroneal Artery ◽  
Diabetic Patients ◽  
Anterior Tibial Artery ◽  
Posterior Tibial ◽  
Tibial Artery ◽  
Anterior Tibial ◽  
Tibial Artery Occlusion

Objectives The main factor in the healing of foot ulcers in diabetic patients is adequate perfusion. There is no consensus on whether direct or indirect revascularization is more effective in leg revascularization. At the centre of that debate, there is a disagreement about whether collateral circulation is sufficient or not. Our aim is to evaluate collateral circulation activity between angiosomes in the feet of diabetic patients by evaluating the level of occlusion in leg arteries and comparing the angiosome regions that have necrosis. Methods The study included 61 patients. All had undergone CT angiography to the lower extremity prior to any revascularization of the leg arteries between September 2014 and September 2016. Stenosis was evaluated on the anterior tibial artery, the posterior tibial artery and the peroneal artery up to the level of the ankle. The opening of the vessel wall at the narrowest part of the vessel was determined as a percentage. The areas with necrosis were determined according to the angiosomes of the posterior tibial artery, anterior tibial artery and peroneal artery vessels. Results Necrosis of the foot was most common in the posterior tibial artery angiosome. Necrosis in the posterior tibial artery angiosome was independent of the level of posterior tibial artery occlusion; however, it was associated with the occlusion of the anterior tibial artery ( p < 0.05). It was found that anterior tibial artery occlusion over 15% resulted in necrosis in the posterior tibial artery angiosome. Conclusions Collateral circulation between the anterior tibial artery and posterior tibial artery is active and there is almost always occlusion in the posterior tibial artery branches. The posterior tibial artery angiosome is fed by the collateral arteries of the anterior tibial artery even if there is no occlusion of posterior tibial artery at the level of the leg, so indirect revascularization on the anterior tibial artery is sufficient to provide foot circulation.

scholarly journals PS126. Limb Salvage and Survival Rate After Endovascular Treatment of Infrapopliteal Artery Occlusion in Diabetic Patients With Critical Limb Ischemia

2010 ◽  
Vol 51 (6) ◽  
pp. 54S
Author(s):  
Francesco Setacci ◽  
Pasqualino Sirignano ◽  
Francesca Iacoponi ◽  
Gianmarco de Donato ◽  
Emiliano Chisci ◽  
...  
Keyword(s):  
Survival Rate ◽  
Endovascular Treatment ◽  
Limb Salvage ◽  
Critical Limb Ischemia ◽  
Limb Ischemia ◽  
Artery Occlusion ◽  
Diabetic Patients ◽  
Infrapopliteal Artery

Intraarterial streptokinase infusion for acute popliteal and tibial artery occlusion

1984 ◽  
Vol 147 (5) ◽  
pp. 583-588 ◽  
Author(s):  
Lloyd M. Taytor ◽  
John M. Porter ◽  
Gerald M. Baur ◽  
Roger W. Hallin ◽  
James L. Peck ◽  
...  
Keyword(s):  
Artery Occlusion ◽  
Tibial Artery ◽  
Streptokinase Infusion ◽  
Tibial Artery Occlusion

Republished: Nitinol clip distal migration and resultant popliteo-tibial artery occlusion complicating access closure by the StarClose SE vascular closure system

2016 ◽  
Vol 9 (2) ◽  
pp. e5-e5
Author(s):  
Dae Han Choi ◽  
Myeong Jin Kim ◽  
Chan Jong Yoo ◽  
Cheol Wan Park
Keyword(s):  
Limb Ischemia ◽  
Artery Occlusion ◽  
Closure Device ◽  
Closure System ◽  
Critical Ischemia ◽  
Total Occlusion ◽  
Tibial Artery ◽  
Distal Migration ◽  
Surgical Embolectomy ◽  
Tibial Artery Occlusion

Lower extremity ischemia following deployment of a vascular closure device for access site closure after a transfemoral endovascular procedure rarely occurs. A 68-year-old woman diagnosed with subarachnoid hemorrhage due to a ruptured anterior communicating aneurysm was treated by endovascular coil embolization. The StarClose SE device was deployed for right femoral arteriotomy closure. After 2 days, critical ischemia occurred on her right lower leg due to total occlusion of the popliteo-tibial artery. Emergent surgical embolectomy was performed and the nitinol clip of the StarClose device was captured in the lumen of the tibioperoneal trunk. Although StarClose is an extravascular closure system, intravascular deployment, distal migration, and resultant critical limb ischemia can occur.

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