Infrapopliteal angioplasty for critical limb ischemia: Relation of TransAtlantic InterSociety Consensus class to outcome in 176 limbs

Giles, Kristina A.; Pomposelli, Frank B.; Hamdan, Allen D.; Blattman, Seth; Panossian, Haig; Schermerhorn, Marc L.

doi:10.1016/j.jvs.2008.02.027

Cited by 189 publications

(152 citation statements)

References 30 publications

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“…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).…”

Section: Main Pointssupporting

confidence: 83%

“…Technical success for the remaining A-C lesions was higher at 81% but is still lower than success rates previously reported (4,7). This is also consistent with the more conservative shift of categorizing longer stenotic lesions >10 cm as TASC C using the updated classification, which would have previously been regarded as TASC D. Therefore, the updated TASC categories represent a very different cohort of patients to those previously reported in the literature and the differences are particularly marked in the more advanced C and D categories.…”

Section: Main Pointscontrasting

confidence: 74%

“…nfrapopliteal percutaneous transluminal angioplasty (PTA) is an established treatment for lower limb salvage in critical limb ischemia (CLI) and is highly attractive given its minimally invasive nature and comparable outcomes to tibial bypass surgery (1)(2)(3)(4)(5). Previous studies have reported outcomes of infrapopliteal PTA based on stratification of lesions using the Trans-Atlantic Inter-Society Consensus for the Management of Peripheral Arterial Disease (TASC II) classification (4,5).…”

mentioning

confidence: 99%

“…Previous studies have reported outcomes of infrapopliteal PTA based on stratification of lesions using the Trans-Atlantic Inter-Society Consensus for the Management of Peripheral Arterial Disease (TASC II) classification (4,5). However, this was updated in 2015 to include a new classification for infrapopliteal lesions reflecting recent technical advancements (Table 1) (6).…”

mentioning

confidence: 99%

See 3 more Smart Citations

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

Kok

Asadi²,

Sheehan³

et al. 2017

Diagn Interv Radiol

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Section: Main Pointssupporting

confidence: 83%

Section: Main Pointscontrasting

confidence: 74%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

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

Kok

Asadi²,

Sheehan³

et al. 2017

Diagn Interv Radiol

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“…One study has demonstrated that infrapopliteal angioplasty is a reasonable primary treatment for critical limb ischemia patients with TransAtlantic InterSociety Consensus (TASC) A, B, or C lesions. 4 Due to the multilevel nature of peripheral arterial disease, iliac or femoral lesions accompanied by the femoral artery bifurcation (FB) disease are frequently observed. 5,6 Endovascular surgery is poorly suited to treating lesions in the FB because they are bulky and eccentric.…”

mentioning

confidence: 99%

Hybrid Endarterectomy and Endovascular Therapy in Multilevel Lower Extremity Arterial Disease Involving the Femoral Artery Bifurcation

Zou

Xia

Yang

et al. 2012

International Surgery

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The objective of this study was to evaluate the feasibility and efficacy of hybrid therapy (combined endarterectomy-endovascular) in patients with complex peripheral multifocal steno-obstructive vascular disease involving the femoral artery bifurcation. Forty-one combined procedures were performed on 40 patients. Although the common femoral artery was usually treated with endarterectomy, endoluminal procedures were performed proximally in 12 patients (group 1), distally in 18 patients (group 2), and both upward and downward in 11 patients (group 3). Patients underwent clinical assessment and anklebrachial index measurement thereafter. Primary, assisted-primary, and secondary patency rates at 24 months were 59%, 66%, and 72%, respectively. Primary patency rates were lower in group 3 compared with groups 1 and 2 (P = 0.015). The limb salvage rate was 86.4% at the end of the follow-up period. Hybrid procedures provide feasible and effective treatment management of selected patients with multilevel lower extremity arterial disease involving the femoral artery bifurcation.Key words: Endarterectomy -Interventional radiography -Arteriosclerosis obliteransFemoral artery T he indications for the endovascular treatment of peripheral arterial disease have rapidly increased since the introduction of percutaneous transluminal angioplasty (PTA) and stenting. 1,2 The advantages of the endovascular approach include lower periprocedural morbidity and mortality. Short-term data from Bypass versus Angioplasty trials in Severe Ischemia of the Leg (BASIL) have confirmed this, with similar clinical outcome for the surgical and endovascular approach. Considerable progress has also been made in the endovascular treatment of infrapopliteal arterial occlusion. One study has demonstrated that infrapopliteal angioplasty is a reasonable primary treatment for critical limb ischemia patients with TransAtlantic InterSociety Consensus (TASC) A, B, or C lesions. 4 Due to the multilevel nature of peripheral arterial disease, iliac or femoral lesions accompanied by the femoral artery bifurcation (FB) disease are frequently observed. 5,6 Endovascular surgery is poorly suited to treating lesions in the FB because they are bulky and eccentric. In addition, the location of the lesions makes ipsilateral access difficult and stent placement impossible. As with the common femoral artery, the deep femoral artery is not generally favorable for endovascular surgery because it usually has either an orifice lesion involving the FB or a diffuse lesion along the length of the artery, which is often into its secondary and tertiary branches.Simultaneous hybrid endovascular and open lower extremity arterial reconstructive procedures have the advantage of eliminating the need for major surgery and avoiding separate staged interventions and their associated morbidity. Recently, several investigators have published results on several types of combined treatments for various patterns of iliac, femoral, and infrapopliteal diseases with promising outcomes.7-14 Mos...

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Management of Peripheral Arterial Disease

Schernthaner

2014

Managing Cardiovascular Complications in Diabetes

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Infrapopliteal angioplasty for critical limb ischemia: Relation of TransAtlantic InterSociety Consensus class to outcome in 176 limbs

Cited by 189 publications

References 30 publications

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

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

Hybrid Endarterectomy and Endovascular Therapy in Multilevel Lower Extremity Arterial Disease Involving the Femoral Artery Bifurcation

Management of Peripheral Arterial Disease

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