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

Kok, Hong Kuan; Asadi, Hamed; Sheehan, Mark; McGrath, Frank P.; Given, Mark F.; Lee, Michael J.

doi:10.5152/dir.2017.17040

Cited by 14 publications

(14 citation statements)

References 29 publications

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“…The pattern of vascular disease influences the options there are for revascularisation. Management of distal disease is more challenging than proximal disease, although advances in this area are being made [2][3][4][5] . Despite these advances patients with distal disease have a higher risk of an amputation and shorter amputation-free survival 6 .…”

Section: Introductionmentioning

confidence: 99%

A Review of Distribution of Atherosclerosis in the Lower Limb Arteries of Patients With Diabetes Mellitus and Peripheral Vascular Disease

Lowry

Saeed

Narendran

et al. 2018

Vasc Endovascular Surg

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Section: Introductionmentioning

confidence: 99%

A Review of Distribution of Atherosclerosis in the Lower Limb Arteries of Patients With Diabetes Mellitus and Peripheral Vascular Disease

Lowry

Saeed

Narendran

et al. 2018

Vasc Endovascular Surg

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“…Whereas Kok et al reported a mortality rate of 21% after a year-long follow-up in PAD patients treated for limb salvage. Mortality reached 50% after 5 years of follow-up (23). The study published previously by our team reported a 1-year mortality rate at 5.8% among patients treated with retrograde vascular access with the mean follow-up at 13.9 [4] months (24).…”

Section: Discussionmentioning

confidence: 67%

Mortality and chronic obstructive pulmonary disease in patients treated with endovascular revascularization of the infra-inguinal lower limb arteries from retrograde access

et al. 2020

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Background: In this trial, our objective was to evaluate the relationship between long-term clinical outcomes in patients with peripheral arterial disease (PAD) treated with retrograde endovascular recanalization (ER) of chronic total occlusions (CTOs) regarding the infra-inguinal lower limb arteries and chronic obstructive pulmonary disease (COPD). Methods: A total of 834 consecutive subjects were enrolled in the study. The mean age was 67.8±10.6 years (62.6% males). COPD was diagnosed in 98 patients (11.7%). The infra-inguinal location included the deep, superficial and common femoral artery, popliteal artery or below the knee arteries. During follow-up, we evaluated major adverse cardiac and cerebrovascular events (MACCE) and major adverse limb events (MALE). MACCE was considered as death, stroke/transient ischemic attack, myocardial infarction, percutaneous coronary intervention or coronary artery bypass grafting operation, while MALE regarded amputation, target lesion re-intervention, target vessel re-intervention and surgical action. Results: The mean follow-up was 1,144.9±664.3 days and the interquartile range was 1,110.5 (504.5-1,734.7). Data were collected between 2006 and 2016. We noticed significant differences in death rates among the COPD and non-COPD groups. The cumulative number of events (deaths) was 12.2%, 17.3%,

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“…Krakenberg et al [20] performed PTA for infrapopliteal occlusions in 78 patients with claudication and found the primary technical success rate to be almost 90%, and the complication rate as 5.8%. In their study, Kok et al [21] found their overall technical success rate as 75%, lower extremity recovery rates as 77% in one year and 65% in three years.…”

Section: Discussionmentioning

confidence: 92%

Percutaneous Transluminal Angioplasty of Infrapopliteal Arteries in Patients with Cladication Intermittance: Acute and Six-Month Results

Samancı¹

2019

Haydarpasa Numune Med J

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Introduction: Critical leg ischemia represents the final stage of atherosclerotic peripheral arterial disease (PAD). Patients affected by critical leg ischemia are the most complex subset of PAD and typically have chronic pathological consequences of hypertension, hyperlipidemia, diabetes and renal failure. Methods: In this study, we evaluated the early and sixth-month outcomes of percutaneous transluminal angioplasty (PTA) in patients with stenosis or occlusion at the infrapopliteal level. Only one leg was treated in one session. None of the patients received infrapopliteal stents, and only balloon angioplasty was performed. Results: In our study, 41 vessels with a total of 48 lesions in 31 patients were treated. The primary patency rate of the vascular segments treated at follow-up was 72.9%. Discussion and Conclusion: In PTA, failure in the procedure and loss of patency are the main therapeutic challenges to be solved. Large-scale, multicenter, prospective studies that systematically evaluate existing infrapopliteal treatment methods are needed to develop contemporary, proven treatment standards.

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

Cited by 14 publications

References 29 publications

A Review of Distribution of Atherosclerosis in the Lower Limb Arteries of Patients With Diabetes Mellitus and Peripheral Vascular Disease

A Review of Distribution of Atherosclerosis in the Lower Limb Arteries of Patients With Diabetes Mellitus and Peripheral Vascular Disease

Mortality and chronic obstructive pulmonary disease in patients treated with endovascular revascularization of the infra-inguinal lower limb arteries from retrograde access

Percutaneous Transluminal Angioplasty of Infrapopliteal Arteries in Patients with Cladication Intermittance: Acute and Six-Month Results

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