Advanced Endovascular Techniques for Limb Salvage

被引:3
|
作者
Fereydooni, Arash [1 ]
Chandra, Venita [1 ,2 ]
机构
[1] Stanford Univ, Dept Surg, Div Vasc & Endovasc Surg, Stanford, CA USA
[2] Stanford Sch Med, 780 Welch Rd, Palo Alto, CA 94304 USA
关键词
Atherectomy; Deep venous arterialization; Drug-coated balloon; Drug-eluting stent; Intravascular lithotripsy; Pedal angioplasty; Retrograde pedal access; Serrated balloon; DRUG-COATED BALLOON; BARE-METAL STENTS; PERCUTANEOUS TRANSLUMINAL ANGIOPLASTY; ARTERIAL OCCLUSIVE DISEASE; ELUTING STENTS; INTRAVASCULAR LITHOTRIPSY; INFRAPOPLITEAL ARTERIES; FEMOROPOPLITEAL ARTERY; ATHEROSCLEROTIC LESIONS; VENOUS ARTERIALIZATION;
D O I
10.1016/j.suc.2023.05.002
中图分类号
R61 [外科手术学];
学科分类号
摘要
As the number of patients with CLTI is increasing, new endovascular revascularization strategies beyond the mostly plain balloon-based technologies may provide new so-lutions. Coupled with drug-coated devices, IVL, and atherectomy can be useful in the management of long-segment, highly calcified femoropopliteal lesions. An array of 0.014-inch platform devices including serrated balloons, IVL, and dissection stents have been developed specifically for the tibial segment. Deep and superficial vein arterialization can be performed through a percutaneous, open surgical, or hybrid ap-proaches in no-option CLTI patients with encouraging results for limb salvage.
引用
收藏
页码:779 / 799
页数:21
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