Below-the-Knee Endovascular Revascularization

作者：Jun Li, Ramon L. Varcoe, Marco Manzi, Steven Kum, Osamu Iida, Andrej Schmidt, Mehdi H. Shishehbor · 发表于：JACC: Cardiovascular Interventions · 年份：2024 · DOI：10.1016/j.jcin.2023.11.040 · 被引用次数：40 · 研究领域：Peripheral Artery Disease Management、Vascular Procedures and Complications、Diabetic Foot Ulcer Assessment and Management

Patients with chronic limb-threatening ischemia, the terminal stage of peripheral artery disease, are frequently afflicted by below-the-knee disease. Although all patients should receive guideline-directed medical therapy, restoration of inline flow is oftentimes necessary to avoid limb loss. Proper patient selection and proficiency in endovascular techniques for below-the-knee revascularization are intended to prevent major amputation and promote wound healing. This review, a consensus among an international panel of experienced operators, provides guidance on these challenges from an endovascular perspective and offers techniques to navigate this complex disease process.