REVIEW  MANAGEMENT OF COMPLEX LESIONS IN PAD 

The Journal of Cardiovascular Surgery 2017 October;58(5):690-7

DOI: 10.23736/S0021-9509.17.09988-8

Copyright © 2017 EDIZIONI MINERVA MEDICA

language: English

Navigating complex femoropopliteal and infrapopliteal anatomy in endovascular interventions

Amit BAHIA ✉, Saba LAHSAEI, Tariq BHAT, Lawrence GARCIA

Division of Vascular Medicine, St. Elizabeth’s Medical Center, Brighton, MA, USA

Peripheral arterial disease (PAD) is a clinical manifestation of systemic atherosclerosis and is associated with significant morbidity and mortality. Vascular physicians come across PAD of different complexity and among them complex total occlusions present a formidable challenge to endovascular operators. Newer tools and techniques, particularly in the retrograde approach, have made endovascular therapy applicable to increasingly complex disease. In this article, we review various interventional devices and techniques that are key to achieving success in complex anatomic subsets.

KEY WORDS: Peripheral arterial disease - Endovascular procedures - Limb salvage