Korean Journal of Radiology

The Korean Society of Radiology (대한영상의학회)
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Management of Complications during Below-the-Knee Endovascular Treatment: A Technical Note

  • JeeYoung Min (Department of Radiology, Konkuk University Medical Center) ;
  • Sang Woo Park (Department of Radiology, Konkuk University Medical Center) ;
  • Jin Ho Hwang (Department of Radiology, Konkuk University Medical Center) ;
  • Yong Wonn Kwon (Department of Radiology, Konkuk University Medical Center) ;
  • Dong Hyeok Shin (Department of Plastic and Reconstructive Surgery, Konkuk University Medical Center)
  • Received : 2019.10.06
  • Accepted : 2020.03.12
  • Published : 2020.08.01
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Abstract

We retrospectively reviewed the cases in which complications occurred during below-the-knee (BTK) endovascular treatments that were performed at our hospital from 2005 to 2014. Several interesting cases have been described herein. All the patients had diabetes and non-healing wounds on their feet and/or rest pain in their foot or leg, and therefore, endovascular treatment was performed for the BTK arteries of the affected lower extremity. The complications that occurred during the procedure were classified into six categories-vascular spasm, flow limiting dissection, perforation, broken guidewire, distal thromboembolism, and unusual puncture site bleeding. Each complication has its own solutions and management. We discuss these different classes of complications and describe how cases of each type were managed.

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References

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