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ITALIAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
Rivista di Chirurgia Vascolare ed Endovascolare
Italian Journal of Vascular and Endovascular Surgery 2007 Dicembre;14(4):339-42
Below-knee stent-supported angioplasty for peripheral vascular disease: where do we stand?
Brant-Zawadzki P. B., Treiman G. S.
Department of Surgery University of Utah School of Medicine and the Veterans Administration Salt Lake City Health Care System Salt Lake City, UT, USA
The role for below-knee endovascular interventions for peripheral vascular disease is controversial. Advocates claim that angioplasty with or without stent placement should be the first line therapy for patients with critical limb ischemia or lifestyle-limiting claudication. Opponents believe that inferior patency rates and the lack of long term follow-up data argue against the use of endovascular interventions in patients with surgically reconstructible disease despite significant perioperative morbidity and mortality. We have reviewed the current literature on endovascular below-knee arterial stent placement to better determine its role in the management of infrageniculate lesions. We invite readers to decide how they will use this information in clinical practice.