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Below the knee revascularization

Challenges, current technique and future outlook

Michael LICHTENBERG, Marianne BRODMANN

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DESCRIZIONE

The purpose of this special “BTK revascularization” textbook is to guide the interested reader through existing revascularization challenges within the treatment of a CLI patient caused by infrapopliteal disease. Infrapopliteal revascularization procedures are threatened by long occlusions, calcification, dissections and/or recoil during and after the procedure. Fortunately, advances in the techniques and technology of endovascular therapy including retrograde reca¬nalization techniques, direct calcification modification, antiproliferative medication application and low-profile scaffolds have resulted in such methods that allow increasingly more effective revascularization and direct flow to the foot.


INFORMAZIONI SUGLI AUTORI

Michael LICHTENBERG. Vascular Center Klinikum Arnsberg, Arnsberg, Germany

Dr. Michael Lichtenberg, FESC is a nationally and internationally renowned and very experienced specialist in angiology (vascular conditions). As the Chief Physician of the Department of Angiology at the Hochsauerland Hospital, he also heads the in-house Pelvic Vein Obstruction Center. Dr. Lichtenberg is a specialist in angiology, internal medicine, cardiology, internistic intensive care, hypertensiology (DHL) as well as a graduate health economist. He is also an FECS (Fellow of the European Society of Cardiology), an honorary title only awarded to specialists who have made exceptional contributions in the specialist field of vascular medicine. Since 2017, Dr. Lichtenberg has been the Executive Secretary of the German Angiology Association (DGA), which represents over 1200 angiologists and which significantly influences further development in this specialized medical field. The main objectives of Dr. Lichtenberg as the Executive Secretary of the DGA are both the further development of guidelines in the arterial and venous area and the restructuring of advanced angiology training and, as a result, the support of up-and-coming specialists. He will head the Association from 2020 as President of the DGA.


Marianne BRODMANN. Clinical Division of Angiology, Medical University Graz, Graz, Austria


INDICE DEI CAPITOLI

Epidemiology of PAD and CLI: a global and national perspective

Risk of major amputation or death among patients with critical limb ischemia

Small artery disease in critical limb ischemia: innocent bystander or leading actor?

Diabetic macroangiopathy

Key findings of the first-line treatment strategies in patients with critical limb ischemia registry (CRITISCH)

The angiosome concept and the role of collateral vessels

Standard revascularization techniques

Retrograde endovascular revascularisation techniques

Current evidence for drug eluting balloon technology

Evidence for drug eluting stent technology

Lutonix® Global DCB Registry Real World Patients with BTK Disease: an interim analysis

Dissection healing with the Tack Endovascular System

Adventitial drug therapy for BTK interventions

Intravascular lithotripsy (IVL) for calcified BTK arterial lesions

Endovascular venous arterialization: option for non-option patients with critical limb ischemia

Utilization of interstitial oxygen micro-sensors during CLI therapy

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