Clinical Implications of Additional Pedal Artery Angioplasty in Critical Limb Ischemia Patients With Infrapopliteal and Pedal Artery Disease

Abstract

Additional PAA might improve the WB and clinical outcomes (especially speed and extent of wound healing) in patients with CLI attributed to infrapopliteal and pedal artery disease.

Outcomes of infrapopliteal angioplasty for limb salvage based on the updated TASC II classification

“…Despite the overall complexity of treated lesions in our series, the overall limb salvage at 1 and 3 years following conventional PTA is comparable to other published results and to outcomes from surgical bypass with a relatively low secondary reintervention rate of 15% (2)(3)(4)(5)(7)(8)(9)(10)(11)(12)(13)(14)(15). Although newer technologies such as drug-coated angioplasty balloons (DCB) or drug-eluting stents (DES), and atherectomy devices were absent in our series, there has been recent interest in the use of DCB and DES in the treatment of infrapopliteal lesions (16)(17)(18)(19)(20).…”

Below-the-Ankle Angioplasty in Patients with Critical Limb Ischemia: A Systematic Review and Meta-Analysis

“…After duplicates were removed and the titles and abstracts were screened for relevance, 39 full-text articles were assessed for eligibility. Applying the inclusion and exclusion criteria resulted in 10 articles (11)(12)(13)(14)(15)(16)(17)(18)(19)(20) being finally included in this systematic review. A flow chart of the selection procedure is shown in Figure 1.…”

Comparison of drug eluting balloon angioplasty to infrapopliteal artery critical lesions with or without additional pedal artery angioplasty in patients with diabetes mellitus and critical limb ischemia

“…The patency of BTA is of pivotal importance in determining the outcome of BTK revascularization in patients with CLI . In our study, we hypothesized that an additional BTA angioplasty by improving of outflow with treating BTA lesions may decrease the restenosis and amputation rate after conventional below‐the‐knee revascularization as some reported cases and studies of additional BTA angioplasty have shown . As we expected, there were 11 restenosis in BTK group and three restenosis in BTA group, which showed certain trend toward statistically significant lower rate in BTA group ( P = 0.059; P > 0,05).…”

“…Endovascular therapy (EVT) became an accepted “first‐line” therapy to infra‐popliteal occlusions where procedural success is favorably balanced by relatively minimal risk but recanalization of infra‐popliteal arteries with additional BTA lesions is technically challenging . Additional BTA artery revascularization may improve clinical outcomes of CLI patients with BTK lesions . Our main purpose in this study is to assess if further BTA angioplasty after BTK revascularization improves the clinical outcomes in this patient cohort.…”

“…2 Additional BTA artery revascularization may improve clinical outcomes of CLI patients with BTK lesions. 3,4 Our main purpose in this study is to assess if further BTA angioplasty after BTK revascularization improves the clinical outcomes in this patient cohort.…”