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Role of Angioplasty in Limb Salvage

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Abstract

Dotter and Judkins1 included three cases of infrapopliteal angioplasty in their 1964 report on percutaneous transluminal angioplasty. In 1986, eight years after Gruentzig’s report of the successful utilization of balloon angioplasty for dilatation of coronary artery stenoses, the use of these more refined systems designed for small-caliber vessels was reported for the management of chronic infrapopliteal atherosclerosis.2 The development of sophisticated devices for the percutaneous management of infrapopliteal disease has resulted in significantly improved technical and clinical success rates. These improved results have helped broaden the indications for percutaneous intervention for chronic atherosclerotic disease in the distal popliteal artery and infrapopliteal arteries.

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References

  1. Dotter CT, Judkins MP: Transluminal treatment of arterial obstruction: description of a new technique and a preliminary report of its application, Circulation 30: 654, 1964.

    Article  PubMed  CAS  Google Scholar 

  2. Schwarten DE: Extracranial uses for the “steer-able” coronary balloon angioplasty systems, Ann Radiol 299: 1209, 1986.

    Google Scholar 

  3. Brown KT, Moore ED, Getrajdman GI, Saddeni S: Infrapopliteal angioplasty: long term follow up, J Vast Intervent Radiol 4: 139–144, 1993.

    Article  CAS  Google Scholar 

  4. Schwarten DE, Cutcliff WC: Arterial occlusive disease below the knee: treatment with percutaneous transluminal angioplasty performed with low profile catheters and steerable guidewires, Radiology 169: 71, 1988.

    PubMed  CAS  Google Scholar 

  5. Matsi PJ, Manninen MI, Schonnen MT et al: Chronic critical lower limb ischemia: prospective trial of angioplasty with 1–36 months follow up, Radiology 188: 381–387, 1993.

    PubMed  CAS  Google Scholar 

  6. Jagust MB, Sos TA: Infrapopliteal revascularization. In Baum S, Pentecost MJ, editors: Abrams angiography interventional radiology, Boston, 1997, Little Brown, pp 284–293.

    Google Scholar 

  7. Grossman E, Messerli FM, Gradzicki T, Kowey P: Should a moratorium be placed on sublingual nifedipine capsules given for hypertensive emergencies and pseudoemergencies, JAMA 276: 1328–1331, 1996.

    Article  PubMed  CAS  Google Scholar 

  8. Perler BA, Osterman FA, Mitchell S: Balloon dilatation versus surgical revision of infrainguinal autogenous vein graft stenosis: long term follow up, J Cardiovasc Surg 31: 656–661, 1990.

    CAS  Google Scholar 

  9. Dolmatch BL, Grey RJ, Horton KM: Treatment of anastomotic bypass graft stenosis with directional atherectomy: short-term and intermediate results, J Vasc Intern Radiol 6: 105–113, 1995.

    Article  CAS  Google Scholar 

  10. Bolia A, Sayers RD, Thompson MM, Bell PRF: Subintimal and intraluminal treatment of occluded crural arteries by percutaneous trans-luminal angioplasty, Eur J Vasc Surg 8: 214–219, 1994.

    Article  PubMed  CAS  Google Scholar 

  11. Veith FJ, Gupta SK, Wengester VR et al: Changing arteriosclerotic disease patterns and management strategies in lower limb threatening ischemia, Ann Surg 212: 402–414, 1990.

    Article  PubMed  CAS  Google Scholar 

  12. Schwarten DE: Clinical and anatomic considerations for nonoperative therapy in tibial disease and the results of angioplasty, Circulation 83 (suppl I): 186–190, 1991.

    Google Scholar 

  13. Bakal CW, Sprayregen S, Scheinbourn K et al: Percutaneous transluminal angioplasty in infrapopliteal arteries: results in 53 patients, AJR 154: 171–174, 1990.

    PubMed  CAS  Google Scholar 

  14. Brown KT, Schoenberg NY, Moore ED, Saddekni S: Percutaneous angioplasty of infrapopliteal vessels: preliminary results and technical considerations, Radiology 69: 75–78, 1988.

    Google Scholar 

  15. Horvath W, Oertl M, Haidinger D: Percutaneous transluminal angioplasty of crural arteries, Radiology 177: 565–569, 1990.

    PubMed  CAS  Google Scholar 

  16. Bull PG, Mendel M, Hold M et al: Distal popliteal and tibioperoneal angioplasty: long term follow up, J Vasc Intervent Radiol 3: 45–53, 1992.

    Article  CAS  Google Scholar 

  17. Bakal CW, Cynamon J, Sprayregen S et al: Infrapopliteal artery angioplasty: followup and factors influencing clinical response in 53 patients. Presented at the 17th annual meeting of the Society of Cardiovascular and Interventional Radiology, Washington, DC, April 1992.

    Google Scholar 

  18. Fraser SCA, Al-Kuatoubi MA, Wolfe JHN: Percutaneous transluminal angioplasty of the infrapopoliteal vessels: the evidence, Radiology 200: 33–36, 1996.

    PubMed  CAS  Google Scholar 

  19. Bakal CW, Cynamon J, Sprayregen S: Infrapopliteal angioplasty: what we know, Radiology 200: 36–43, 1996.

    PubMed  CAS  Google Scholar 

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© 1999 Springer Science+Business Media New York

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Schwarten, D.E. (1999). Role of Angioplasty in Limb Salvage. In: White, R.A., Fogarty, T.J. (eds) Peripheral Endovascular Interventions. Springer, New York, NY. https://doi.org/10.1007/978-1-4757-3105-7_29

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  • DOI: https://doi.org/10.1007/978-1-4757-3105-7_29

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4757-3107-1

  • Online ISBN: 978-1-4757-3105-7

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