Infrapopliteal Endovascular Techniques: Indications, Techniques, and Results.
The emerging field of endovascular therapy is opening up new therapeutic avenues for the treatment of peripheral vascular disease. The infrapopliteal arterial bed is a complex vascular bed. Treatment is usually restricted to patients with limb-threatening ischemia. Although education and medical therapy play a cornerstone role in long-term success, endovascular therapy offers a potentially easy low-risk treatment for early healing of damaged tissue. Surgical therapy remains the gold standard of treatment, but there remains significant associated morbidity and mortality. A clear understanding of the vascular anatomy, disease process, extent of tissue damage and comorbidities is necessary in forming the treatment plan for any particular patient. Close follow-up and possible retreatment is a key responsibility for the endovascular physician.
Ansel
Gary M.
GM
MidOhio Cardiology Consultants, MidWest Research Foundation, 3545 Olentangy River Road, Suite 325, Columbus, OH 43214, USA.
George
Barry S.
BS
Botti
Charles F.
CF
Silver
Mitch J.
MJ