DOI QR코드

DOI QR Code

Below the Knee Intervention Using Multidisciplinary Methods Including an Antegrade, Retrograde Approach Without the Use of a Sheath but With a Plaque Excision Device

  • An, Hye-Mi (Division of Cardiology, Department of Internal Medicine, Gwangju Veterans Hospital) ;
  • Kang, Won-Yu (Division of Cardiology, Department of Internal Medicine, Gwangju Veterans Hospital) ;
  • Kim, Yeon-Hwa (Division of Cardiology, Department of Internal Medicine, Gwangju Veterans Hospital) ;
  • Lim, Chur-Hoan (Division of Cardiology, Department of Internal Medicine, Gwangju Veterans Hospital) ;
  • Hwang, Sun-Ho (Division of Cardiology, Department of Internal Medicine, Gwangju Veterans Hospital) ;
  • Kim, Weon (Division of Cardiology, Department of Internal Medicine, Kyung Hee University College of Medicne) ;
  • Kim, Wan (Division of Cardiology, Department of Internal Medicine, Gwangju Veterans Hospital)
  • Published : 2012.02.29

Abstract

Below the knee (BTK) interventions are increasing in patients with rest pain or critical limb ischemia, and these interventions are frequently successful in facilitating limb salvage. New intervention techniques and devices allow successful recanalization of occluded BTK arteries. Here, we report a case of successful recanalization of BTK arteries using multidisciplinary methods, including an antegrade approach and retrograde approach without the use of a sheath, but with simple balloon angioplasty, and plaque excision using Silverhawk atherectomy device.

Keywords

References

  1. Staffa R, Leypold J, Vojtísek B. Pedal bypass versus PTA (percutaneous transluminal angioplasty) of the crural arteries. Rozhl Chir 2003;82: 516-21.
  2. Adam DJ, Beard JD, Cleveland T, et al. Bypass versus angioplasty in severe ischaemia of the leg (BASIL): multicentre, randomised controlled trial. Lancet 2005;366:1925-34. https://doi.org/10.1016/S0140-6736(05)67704-5
  3. Faglia E, Dalla Paola L, Clerici G, et al. Peripheral angioplasty as the first-choice revascularization procedure in diabetic patients with critical limb ischemia: prospective study of 993 consecutive patients hospitalized and followed between 1999 and 2003. Eur J Vasc Endovasc Surg 2005;29:620-7. https://doi.org/10.1016/j.ejvs.2005.02.035
  4. Saito S. Different strategies of retrograde approach in coronary angioplasty for chronic total occlusion. Catheter Cardiovasc Interv 2008;71: 8-19. https://doi.org/10.1002/ccd.21316
  5. Fusaro M, Dalla Paola L, Biondi-Zoccai GG. Retrograde posterior tibial artery access for below-the-knee percutaneous revascularization by means of sheathless approach and double wire technique. Minerva Cardioangiol 2006;54:773-7.
  6. Keeling WB, Shames ML, Stone PA, et al. Plaque excision with the Silverhawk catheter: early results in patients with claudication or critical limb ischemia. J Vasc Surg 2007;45:25-31. https://doi.org/10.1016/j.jvs.2006.08.080