TY - JOUR
T1 - Techniques for Infrapopliteal Arterial Bifurcation Stenting
AU - Kok, Hong Kuan
AU - Prabhudesai, Shirish G.
AU - Ahmed, Irfan
AU - Karunanithy, Narayan
AU - Abisi, Said
AU - Katsanos, Konstantinos
AU - Diamantopoulos, Athanasios
N1 - Publisher Copyright:
© 2018 Elsevier Inc.
Copyright:
Copyright 2018 Elsevier B.V., All rights reserved.
PY - 2018/7
Y1 - 2018/7
N2 - Background: Endovascular treatment of infrapopliteal peripheral arterial disease (PAD) is an established and effective treatment strategy for patients with symptomatic PAD. Increasingly, complex infrapopliteal lesions are treated with an endovascular first approach, especially in the setting of critical limb ischemia (CLI) for limb salvage, avoiding major amputations which impact on mobility and quality of life. However, many complex infrapopliteal lesions involving the bifurcation of the tibial arteries remain challenging to treat because of recoil or acute dissection after angioplasty and may require stenting using specialized techniques. Methods and Results: We illustrated techniques for infrapopliteal arterial bifurcation stenting using case-based examples. The techniques covered include the single-stent, culottes, kissing, crush, and T-stenting techniques, and each is considered based on individual strengths and limitations. Conclusions: Infrapopliteal bifurcation stenting allows complex bifurcation lesions to be treated effectively when flow-limiting complications are encountered after angioplasty.
AB - Background: Endovascular treatment of infrapopliteal peripheral arterial disease (PAD) is an established and effective treatment strategy for patients with symptomatic PAD. Increasingly, complex infrapopliteal lesions are treated with an endovascular first approach, especially in the setting of critical limb ischemia (CLI) for limb salvage, avoiding major amputations which impact on mobility and quality of life. However, many complex infrapopliteal lesions involving the bifurcation of the tibial arteries remain challenging to treat because of recoil or acute dissection after angioplasty and may require stenting using specialized techniques. Methods and Results: We illustrated techniques for infrapopliteal arterial bifurcation stenting using case-based examples. The techniques covered include the single-stent, culottes, kissing, crush, and T-stenting techniques, and each is considered based on individual strengths and limitations. Conclusions: Infrapopliteal bifurcation stenting allows complex bifurcation lesions to be treated effectively when flow-limiting complications are encountered after angioplasty.
UR - http://www.scopus.com/inward/record.url?scp=85045058059&partnerID=8YFLogxK
U2 - 10.1016/j.avsg.2018.01.094
DO - 10.1016/j.avsg.2018.01.094
M3 - Article
C2 - 29518519
AN - SCOPUS:85045058059
SN - 0890-5096
VL - 50
SP - 288
EP - 296
JO - Annals of Vascular Surgery
JF - Annals of Vascular Surgery
ER -