The clinical utility of below‐the‐ankle angioplasty using “transmetatarsal artery access” in complex cases of CLI

Abstract

Transmetatarsal artery access appears feasible and beneficial in cases with a failed antegrade recanalization and unsuitable for retrograde pedal/plantar access.

Predictors of Delayed Wound Healing after Endovascular Therapy of Isolated Infrapopliteal Lesions Underlying Critical Limb Ischemia in Patients with High Prevalence of Diabetes Mellitus and Hemodialysis

“…21 EVT in below knee lesions is common in CLI management, and the effectiveness of below ankle intervention has been reported. 22 The impact of the number of BTA runoffs on wound healing reported recently was confirmed.…”

La revascularisation distale des diabétiques en ischémie critique

“…Cette technique est indiquée chez des patients ayant eu un échec de recanalisation par voie antérograde transluminale ou sous-intimale et chez qui un accès distal par les artères plantaires et/ou pédieuse est impossible. Cette technique de dernier recours comporte un risque d'échec non négligeable (13,5 %) mais elle est très intéres-sante lorsqu'il n'y a plus de possibilité endovasculaire simple [51].…”

Below-the-ankle Angioplasty: Current Evidence and Future Perspectives

“…transmetatarsal arterial access and retrograde recanalisation of the foot and the tibial vessels, resulting in a satisfactory amputation-free survival rate of 81.5% at 1-year follow-up. 19 In 2016, in another retrospective single-centre study, Nakama et al…”