LATEST DEVELOPMENTS IN THE TREATMENT OF CRITICAL LIMB ISCHEMIA 

The Journal of Cardiovascular Surgery 2014 October;55(5):665-70

Copyright © 2014 EDIZIONI MINERVA MEDICA

language: English

Pedal and plantar loop angioplasty: technique and results

Gandini R., Del Giudice C., Simonetti G. ✉

Department of Diagnostic Imaging, Molecular Imaging, Interventional Radiology, Radiotherapy, and Nuclear Medicine, “IRCCS Policlinico di Tor Vergata”, Rome, Italy

Endovascular and subintimal approaches fails in obtaining a below-the-knee recanalization in 10-40% of cases, even in high-volume and expertise centers. The presence of long calcified occlusions, characterized by a complex anatomy, often necessitate the use of alternative techniques in order to obtain a direct blood flow to the foot arteries. Recanalization using pedal and plantar loop angioplasty could improve outcomes in the presence of a communication between the dorsal and plantar arch of the foot, if conventional techniques are not effective.