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REVIEW  SAVE THE SEVERELY ISCHEMIC LIMB: THE JOINT PRACTICAL APPROACHES Freefree

Italian Journal of Vascular and Endovascular Surgery 2020 December;27(4):190-6

DOI: 10.23736/S1824-4777.21.01493-5

Copyright © 2021 EDIZIONI MINERVA MEDICA

language: English

The insidious femoropopliteal tract

Federico ACCROCCA , Andrea SIANI, Roberto GABRIELLI, Gennaro DE VIVO, Gianluca SMEDILE, Anna R. RIZZO, Tommaso CASTRUCCI, Stefano BARTOLI

Division of Vascular and Endovascular Surgery, Sant’Eugenio Hospital, ASL ROMA2, Rome, Italy



Many clinical presentations, characteristics of the lesions (e.g. calcifications), anatomic patters, presence of a distal run-off, and patient’s comorbidities - such as diabetes, chronic renal failure - make it impossible to have a standardized endovascular procedure for the femoropopliteal district. In my experience, the only ideal solution to save the patient’s lower limb - and sometimes even his/her life - is a tailored-made approach. The great range of treatment options represents itself one of the issues for the treatment of femoropopliteal lesions in patients with critical limb threatening ischemia.


KEY WORDS: Ischemia; Extremities; Disease; Endovasculare procedures; Complications

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