Alternative access for peripheral vascular interventions.
| Autor: | Alonso AG; Division of Vascular and Endovascular Surgery, Boston Medical Center, Boston University Chobanian and Avedisian School of Medicine, Boston, MA., Kobzeva-Herzog A; Division of Vascular and Endovascular Surgery, Boston Medical Center, Boston University Chobanian and Avedisian School of Medicine, Boston, MA., Siracuse JJ; Division of Vascular and Endovascular Surgery, Boston Medical Center, Boston University Chobanian and Avedisian School of Medicine, Boston, MA. |
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| Jazyk: | angličtina |
| Zdroj: | Journal of vascular surgery cases and innovative techniques [J Vasc Surg Cases Innov Tech] 2023 May 24; Vol. 9 (3), pp. 101232. Date of Electronic Publication: 2023 May 24 (Print Publication: 2023). |
| DOI: | 10.1016/j.jvscit.2023.101232 |
| Abstrakt: | Percutaneous endovascular interventions for advanced lower extremity peripheral arterial disease are becoming increasingly used, often as first-line treatment of chronic limb threatening ischemia. Advancements in endovascular techniques have provided safe and effective alternative revascularization options, especially for high-risk surgical patients. Although the classic transfemoral approach results in high technical success and patency rates, an estimated 20% of lesions remain challenging to access via an antegrade approach. As such, alternative access sites are important in the endovascular armamentarium for the management of chronic limb threatening ischemia. The goal of this review is to discuss alternative access sites, specifically the transradial, transpopliteal, and transpedal approaches, in addition to transbrachial and transaxillary access, and their outcomes in peripheral arterial disease and limb salvage. (© 2023 The Author(s).) |
| Databáze: | MEDLINE |
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