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Laser Revascularization for Critical Limb Ischemia

  • Gagan D. Singh
  • Ehrin J. Armstrong
  • John R. Laird

Abstract

Critical limb ischemia is associated with progressive multi-level lower extremity atherosclerosis and poor long term amputation and mortality rates. In additional to medical therapy, adjunctive endovascular intervention remains an important modality to maintain arterial patency to allow for adequate tissue healing leading to limb salvage and improving overall mortality. Laser atherectomy holds particular primes for challenging femoropopliteal and infrapopliteal lesions – for both de novo and in-stent restenosis. The current chapter delineates the technical aspects of laser atherectomy for treatment of complex lower extremity lesions and to review the clinical literature supporting the use of laser atherectomy in the treatment of critical limb ischemia.

Keywords

Laser Atherectomy Critical Limb Ischemia Limb Salvage De Novo lesions Femoropopliteal In-Stent Restenosis 

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Copyright information

© Springer-Verlag London 2015

Authors and Affiliations

  • Gagan D. Singh
    • 1
  • Ehrin J. Armstrong
    • 2
    • 3
  • John R. Laird
    • 4
  1. 1.Division of Cardiovascular Medicine, Department of Internal MedicineUniversity of California Davis Medical CenterSacramentoUSA
  2. 2.Division of Cardiovascular Medicine, Department of Internal MedicineVA Eastern Colorado Healthcare SystemDenverUSA
  3. 3.Division of CardiologyUniversity of Colorado School of MedicineDenverUSA
  4. 4.Division of Cardiovascular MedicineUC Davis Vascular CenterSacramentoUSA

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