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Minimally invasive revascularization strategies for chronic lower limb ischemia.

Authors
Type
Published Article
Journal
The International Journal of Lower Extremity Wounds
1534-7346
Publisher
SAGE Publications
Publication Date
Volume
5
Issue
1
Pages
35–39
Identifiers
PMID: 16543211
Source
Medline
License
Unknown

Abstract

Lower extremity wounds resulting from ischemia are increasingly becoming a common indication for surgical revascularization. Techniques in minimally invasive vascular surgery for the treatment of lower extremity chronic ischemia have expanded rapidly in recent years. The current standard of care with which all new modalities should be compared is the restoration of arterial flow via direct arterial revascularization using the autogenous reversed saphenous vein that can yield limb salvage rates of approximately 95%. Percutaneous transluminal angioplasty and stenting (PTA/S), cryoplasty, catheter-directed atherectomy, laser-assisted PTA/S, drug-eluting stents, and subintimal angioplasty are emerging minimally invasive modalities used for the treatment of lower extremity ischemia. Early success rates using many of these techniques have been promising. The outcomes of randomized controlled trials with long-term follow-ups are needed to make confident remarks about the effectiveness of these techniques.

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