An update on endovascular therapy of the lower extremities.
Considerable advances have been made over the last decade in percutaneous technology for treatment of atherosclerotic diseases in the iliac, femoropopliteal, and distal tibioperoneal arteries. While treatment strategies are well defined in the iliofemoral segment, where angioplasty and stenting perform well in appropriately selected lesions, the search for a durable transcatheter therapy for femoropopliteal and distal occlusive disease continues. The spectrum of treatment alternatives to angioplasty ranges from transcatheter plaque excision to laser ablation, rotational atherectomy, cryoplasty, brachytherapy, and stenting. We review in this article the status of percutaneous endovascular techniques for the treatment of lower extremity vascular occlusive disease.
Bates
Mark C
MC
Vascular Center of Excellence, and the Department of Surgery, Robert C. Byrd Health Sciences Center of West Virginia University, Charleston, West Virginia 25304, USA.
Aburahma
Ali F
AF
D000800:Angioplasty, Balloon; D000818:Animals; D001157:Arterial Occlusive Diseases / Q000601:surgery / Q000628:therapy*; D017225:Atherectomy, Coronary; D004195:Disease Models, Animal; D005263:Femoral Artery; D006801:Humans; D007083:Iliac Artery; D007866:Leg / Q000098:blood supply*; D011150:Popliteal Artery; D015607:Stents; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional