Below-the-Knee Endovascular Revascularization A Position Statement

被引：6
作者：
Li, Jun [1 ,2 ]
Varcoe, Ramon [3 ,4 ]
Manzi, Marco [5 ]
Kum, Steven [6 ]
Iida, Osamu [7 ]
Schmidt, Andrej [8 ]
Shishehbor, Mehdi H. [1 ,2 ,9 ]
机构：
[1] Univ Hosp Harrington Heart & Vasc Inst, Cleveland, OH 44106 USA
[2] Case Western Reserve Univ, Sch Med, Cleveland, OH 44106 USA
[3] Prince Wales Hosp, Sydney, NSW, Australia
[4] Univ New South Wales, Fac Med, Sydney, NSW, Australia
[5] Policlin Abano Terme, Foot & Ankle Clin, Intervent Radiol Unit, Abano Terme, Italy
[6] Changi Gen Hosp, Dept Surg, Singapore, Singapore
[7] Kasai Rosai Hosp, Cardiovasc Ctr, Amagasaki, Japan
[8] Univ Hosp Leipzig, Dept Internal Med Neurol & Dermatol, Div Angiol, Leipzig, Germany
[9] Case Western Reserve Univ, Univ Hosp Harrington Heart & Vasc Inst, Sch Med, 11100 Euclid Ave,Mailstop Lakeside 5038, Cleveland, OH 44106 USA
来源：
JACC-CARDIOVASCULAR INTERVENTIONS | 2024年 / 17卷 / 05期
关键词：
below the knee; chronic limb- threatening ischemia; CLTI; endovascular revascularization; CRITICAL LIMB ISCHEMIA; DEEP-VEIN ARTERIALIZATION; CHRONIC TOTAL OCCLUSION; PERCUTANEOUS TRANSLUMINAL ANGIOPLASTY; PERIPHERAL ARTERY-DISEASE; APPROPRIATE USE CRITERIA; BALLOON-ANGIOPLASTY; DIABETIC-PATIENTS; TIBIAL ARTERY; PROSPECTIVE MULTICENTER;
D O I：
10.1016/j.jcin.2023.11.040
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Patients with chronic limb-threatening ischemia, the terminal stage of peripheral artery disease, are frequently afflicted by below-the-knee disease. Although all patients should receive guideline-directed medical therapy, restoration of inline flow is oftentimes necessary to avoid limb loss. Proper patient selection and proficiency in endovascular techniques for belowthe-knee revascularization are intended to prevent major amputation and promote wound healing. This review, a consensus among an international panel of experienced operators, provides guidance on these challenges from an endovascular perspective and offers techniques to navigate this complex disease process. (J Am Coll Cardiol Intv 2024;17:589-607) (c) 2024 The Authors. Published by Elsevier on behalf of the American College of Cardiology Foundation. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
引用
收藏
页码：589 / 607
页数：19
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