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ITALIAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
Rivista di Chirurgia Vascolare ed Endovascolare
LOWER EXTREMITIES HOT TOPICS
Italian Journal of Vascular and Endovascular Surgery 2012 Giugno;19(2):77-85
Endovascular management of tibial artery disease
Aiello F., Meltzer A., Bubis L., Dayal R.
Division of Vascular Surgery, New York-Presbyterian Hospital, Columbia University Medical Center, New York, NY, USA
Peripheral arterial disease (PAD) affects a large percentage of the population over the age of 70, and PAD patients have an increased risk of developing critical limb ischemia (CLI). This disease carries both an elevated risk of cardiovascular death and leads to the development of nonhealing wounds, ulceration, and gangrene. While tibial bypass leads to excellent limb salvage rates, patients are frequently beset by multiple perioperative complications including wound infection, myocardial infarction, pulmonary complications, and frequently require physical therapy and assistance to return to their baseline ambulatory status. Therefore, there has been an increase in endovascular management of PAD in the last decade due to its lower rates of morbidity and mortality despite lower primary patency rates. Multiple methods of traversing chronic total occlusions (CTO) using standard wire/catheter techniques as well as neuver devices, technology and methods will also be described in the following manuscript.