Contemporary Infrapopliteal Intervention for Limb Salvage and Wound Healing - Harmonization of Revascularization and Wound Management

被引:16
|
作者
Kawarada, Osami [1 ,3 ]
Yasuda, Satoshi [1 ,3 ]
Huang, Janice [4 ]
Honda, Yasuhiro [4 ]
Fitzgerald, Peter J. [4 ]
Ishihara, Masaharu [1 ,3 ]
Ogawa, Hisao [1 ,2 ]
机构
[1] Natl Cerebral & Cardiovasc Ctr, Dept Cardiovasc Med, Suita, Osaka 5658565, Japan
[2] Kumamoto Univ, Grad Sch Med Sci, Dept Cardiovasc Med, Kumamoto, Japan
[3] Kumamoto Univ, Grad Sch Med Sci, Dept Adv Cardiovasc Med, Kumamoto, Japan
[4] Stanford Univ, Med Ctr, Div Cardiovasc Med, Stanford, CA 94305 USA
关键词
Critical limb ischemia; Endovascular therapy; Infrapopliteal artery disease; Tissue loss; BELOW-THE-KNEE; BARE-METAL STENTS; PERIPHERAL ARTERY-DISEASE; SIROLIMUS-ELUTING STENTS; SKIN PERFUSION-PRESSURE; ANKLE ANGIOPLASTY; FOOT ULCERS; ENDOVASCULAR REVASCULARIZATION; TRANSLUMINAL ANGIOPLASTY; HEMODIALYSIS-PATIENTS;
D O I
10.1253/circj.CJ-14-0060
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Infrapopliteal arterial disease is a significant cause of critical limb ischemia (CLI), whether single-segment or multi-segment disease. The collaboration between the tremendous advancements in endovascular technology and the refinement of endovascular techniques has renewed the classic infrapopliteal interventions during the past decade. With this paradigm shift in the treatment of CLI, the role of a comprehensive approach of different disciplines for tissue loss is becoming greater. Given the increasing global burden of CLI, we review the cutting-edge diagnostic and endovascular approaches to infrapopliteal artery disease, and the importance of wound management in optimizing clinical outcomes.
引用
收藏
页码:1540 / 1549
页数:10
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