Document Detail

Subintimal angioplasty in the management of critical lower-extremity ischemia: value in limb salvage.
MedLine Citation:
PMID:  15952692     Owner:  NLM     Status:  MEDLINE    
The interest in and overall usage of endovascular procedures for the treatment of lower extremity ischemia continues to grow at a rapid pace. An increasing number of centers throughout the world are gaining experience with subintimal angioplasty. Promising results have been reported and the application of the technique has been expanded to include the iliac and crural arteries. The technique of subintimal angioplasty and several variations are discussed. Although primary patency rates compared with bypass are relatively low for patients undergoing subintimal angioplasty, limb salvage rates remain high. When a subintimal angioplasty fails, it frequently does so without the recurrence of symptoms, especially when a gangrenous lesion or ulcer has healed. Given the many advantages of this technique, which include reduced anesthesia requirements, a minimally invasive approach, and potential reductions in length of stay and cost, subintimal angioplasty will continue to have a role in the treatment of lower extremity ischemia. When applied judiciously, bypass options may be preserved. This does not, however, mean that the availability of this technique should be used as justification to lower the threshold for the treatment.
Evan C Lipsitz; Frank J Veith; Takao Ohki
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Perspectives in vascular surgery and endovascular therapy     Volume:  17     ISSN:  1531-0035     ISO Abbreviation:  Perspect Vasc Surg Endovasc Ther     Publication Date:  2005 Mar 
Date Detail:
Created Date:  2005-06-14     Completed Date:  2005-07-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100970607     Medline TA:  Perspect Vasc Surg Endovasc Ther     Country:  United States    
Other Details:
Languages:  eng     Pagination:  11-20     Citation Subset:  IM    
Division of Vascular Surgery, Department of Surgery, Montefiore Medical Center and the Albert Einstein College of Medicine, Bronx, NY 10467, USA.
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MeSH Terms
Angioplasty, Balloon / methods*
Collateral Circulation
Femoral Artery
Iliac Artery
Ischemia / therapy*
Leg / blood supply*
Limb Salvage
Patient Selection
Tunica Intima
Vascular Patency

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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