Korean Journal of Radiology

  • 제21권8호
  • /
  • Pages.935-945
  • /
  • 2020
  • /
  • 1229-6929(pISSN)
  • /
  • 2005-8330(eISSN)
대한영상의학회 (The Korean Society of Radiology)
권호 표지
DOI QR코드

DOI QR Code

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)
  • 투고 : 2019.10.06
  • 심사 : 2020.03.12
  • 발행 : 2020.08.01
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

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.

키워드

참고문헌

  1. Balzer JO, Khan V, Thalhammer A, Vogl TJ, Lehnert T. Below the knee PTA in critical limb ischemia results after 12 months: single center experience. Eur J Radiol 2010;75:37-42
  2. Baumann F, Willenberg T, Do DD, Keo HH, Baumgartner I, Diehm N. Endovascular revascularization of below-the-knee arteries: prospective short-term angiographic and clinical follow-up. J Vasc Interv Radiol 2011;22:1665-1673
  3. Odink H, van den Berg A, Winkens B. Technical and clinical long-term results of infrapopliteal percutaneous transluminal angioplasty for critical limb ischemia. J Vasc Interv Radiol 2012;23:461-467.e1
  4. Park SW, Kim JS, Yun IJ, Hwang JJ, Lee SA, Chee HK, et al. Clinical outcomes of endovascular treatments for critical limb ischemia with chronic total occlusive lesions limited to below-the-knee arteries. Acta Radiol 2013;54:785-789
  5. van Overhagen H, Spiliopoulos S, Tsetis D. Below-the-knee interventions. Cardiovasc Intervent Radiol 2013;36:302-311
  6. Pave M, Benadiba L, Berger L, Gouicem D, Hendricks M, Plissonnier D. Below-the-knee angioplasty for critical limb ischemia: results of a series of 157 procedures and impact of the angiosome concept. Ann Vasc Surg 2016;36:199-207
  7. Singh GD, Brinza EK, Hildebrand J, Waldo SW, Foley TR, Laird JR, et al. Midterm outcomes after infrapopliteal interventions in patients with critical limb ischemia based on the TASC II classification of below-the-knee arteries. J Endovasc Ther 2017;24:321-330
  8. Razavi MK, Mustapha JA, Miller LE. Contemporary systematic review and meta-analysis of early outcomes with percutaneous treatment for infrapopliteal atherosclerotic disease. J Vasc Interv Radiol 2014;25:1489-1496.e3.
  9. Kawarada O, Yasuda S, Huang J, Honda Y, Fitzgerald PJ, Ishihara M, et al. Contemporary infrapopliteal intervention for limb salvage and wound healing: harmonization of revascularization and wound management. Circ J 2014;78:1540-1549
  10. El-Sayed H, Bennett ME, Loh TM, Davies MG. Retrograde pedal access and endovascular revascularization: a safe and effective technique for high-risk patients with complex tibial vessel disease. Ann Vasc Surg 2016;31:91-98
  11. Welling RHA, Bakker OJ, Scheinert D, Moll FL, Hazenberg CE, Mustapha JA, et al. Below-the-knee retrograde access for peripheral interventions: a systematic review. J Endovasc Ther 2018;25:345-352