| Retrograde transpedale recanalisation of tibial artery occlusion. | |
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MedLine Citation:
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PMID: 19736637 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Increasing prevalence of diabetes mellitus is frequently associated with complex tibioperoneal obstructive disease and a high rate of amputations. Endovascular therapy of arteries below the knee has emerged as a promising revascularization technique for patients with critical limb ischemia. Recent advances in catheter technology applied below the knee will increase the demand for and acceptance of minimally invasive therapy. However, when employing standard approaches, PTA of below-the-knee arteries may fail in up to 20% of cases. In the present article, we report an interventional strategy using a retrograde transpedal angioplasty approach, which was successfully applied in a 73 year old male diabetic patient with critical lower limb ischemia and a challenging occlusion of the anterior tibial and dorsalis pedis artery. This technique may probably increase success rates of PTA in cases with total occlusion of below-the-knee arteries, especially those without proximal occlusion. |
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Authors:
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A Hansen; H Krawzcynski; F Lacher |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: VASA. Zeitschrift f??r Gef??sskrankheiten. Journal for vascular diseases Volume: 38 ISSN: 0301-1526 ISO Abbreviation: VASA Publication Date: 2009 Aug |
Date Detail:
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Created Date: 2009-09-08 Completed Date: 2009-10-15 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0317051 Medline TA: Vasa Country: Switzerland |
Other Details:
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Languages: eng Pagination: 249-53 Citation Subset: IM |
Affiliation:
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Angiologie, Klinik K??sching, Germany. alexander.hansen@klinik-koesching.de |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Amputation Angioplasty, Balloon* Arterial Occlusive Diseases / radiography, therapy* Combined Modality Therapy Constriction, Pathologic Diabetic Angiopathies / radiography, therapy* Fibrinolytic Agents / administration & dosage Humans Ischemia / radiography, therapy* Male Thrombolytic Therapy Tibial Arteries* / radiography Tissue Plasminogen Activator / administration & dosage Treatment Outcome |
| Chemical | |
Reg. No./Substance:
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0/Fibrinolytic Agents; EC 3.4.21.68/Tissue Plasminogen Activator |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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