Drug-Eluting Stents (DES) for Infrapopliteal Interventions

  • Andrew J. Feiring
Chapter

Abstract

When treating critical limb ischemia (CLI), the primary objective is to increase oxygen delivery to a level commensurate with wound healing and relief of ischemic pain. The most direct way of achieving this goal is to maximize and then sustain conduit flow to the jeopardized angiosome. The hallmark of CLI is the presence of severe below-the-knee (BTK) arterial disease, yet for more than 40 years, the guiding principle of surgical limb salvage has been the establishment of single-vessel, straight-line pulsatile flow to the foot. However, this construct evolved from the surgical limitation of not being able to bypass more than one artery. In contradistinction, modern endovascular techniques afford the potential of delivering a more complete arterial revascularization thus improved limb salvage. In this chapter, we will focus on the use of balloon-expandable coronary drug-eluting stents (DES) which, in this author’s opinion, is the safest, most expedient, and most effective method of establishing and maintaining BTK artery patency.

Keywords

Fatigue Ischemia Europe Torque Creatinine 

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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Andrew J. Feiring
    • 1
  1. 1.Vascular Institute and Cardiac and Interventional LaboratoryColumbia-St. Marys Medical CenterMilwaukeeUSA

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