Below-the-ankle Angioplasty: Current Evidence and Future Perspectives

Over 20 million adults in Europe suffer from peripheral arterial disease (PAD). The annual incidence of PAD is approximately 2.4%, while the annual incidence of critical limb ischaemia (CLI), the last and most severe stage of PAD, has been reported to be 0.4%. Endovascular angioplasty and/or stentin...

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Autores principales: Stavros Spiliopoulos, Lazaros Reppas, Konstantinos Palialexis, Elias Brountzos
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Lenguaje:EN
Publicado: Radcliffe Medical Media 2019
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Acceso en línea:https://doaj.org/article/2e06cc7d8ff844d09269b8bbd1eb4002
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spelling oai:doaj.org-article:2e06cc7d8ff844d09269b8bbd1eb40022021-12-04T16:01:15ZBelow-the-ankle Angioplasty: Current Evidence and Future Perspectives10.15420/ver.2018.19.22516-33022516-3299https://doaj.org/article/2e06cc7d8ff844d09269b8bbd1eb40022019-01-01T00:00:00Zhttps://www.verjournal.com/articles/below-ankle-angioplastyhttps://doaj.org/toc/2516-3299https://doaj.org/toc/2516-3302Over 20 million adults in Europe suffer from peripheral arterial disease (PAD). The annual incidence of PAD is approximately 2.4%, while the annual incidence of critical limb ischaemia (CLI), the last and most severe stage of PAD, has been reported to be 0.4%. Endovascular angioplasty and/or stenting of infrapopliteal disease is, today, an established treatment for critical limb ischaemia. The main technical advantages of endovascular treatment over open bypass surgery include the possibility to revascularise more than one infrapopliteal vessels and, most importantly, to treat outflow pedal vessel disease or even reconstitute the pedal arch. Data of below-the-ankle angioplasty are beginning to sum up and the contribution of pedal arch angioplasty in limb salvage and wound healing are currently under investigation. In this review, currently available data and the future perspectives on below-the-ankle and pedal arch endovascular treatment will be presented.Stavros SpiliopoulosLazaros ReppasKonstantinos PalialexisElias BrountzosRadcliffe Medical MediaarticleDiseases of the circulatory (Cardiovascular) systemRC666-701ENVascular and Endovascular Review , Vol 2, Iss 1, Pp 6-8 (2019)
institution DOAJ
collection DOAJ
language EN
topic Diseases of the circulatory (Cardiovascular) system
RC666-701
spellingShingle Diseases of the circulatory (Cardiovascular) system
RC666-701
Stavros Spiliopoulos
Lazaros Reppas
Konstantinos Palialexis
Elias Brountzos
Below-the-ankle Angioplasty: Current Evidence and Future Perspectives
description Over 20 million adults in Europe suffer from peripheral arterial disease (PAD). The annual incidence of PAD is approximately 2.4%, while the annual incidence of critical limb ischaemia (CLI), the last and most severe stage of PAD, has been reported to be 0.4%. Endovascular angioplasty and/or stenting of infrapopliteal disease is, today, an established treatment for critical limb ischaemia. The main technical advantages of endovascular treatment over open bypass surgery include the possibility to revascularise more than one infrapopliteal vessels and, most importantly, to treat outflow pedal vessel disease or even reconstitute the pedal arch. Data of below-the-ankle angioplasty are beginning to sum up and the contribution of pedal arch angioplasty in limb salvage and wound healing are currently under investigation. In this review, currently available data and the future perspectives on below-the-ankle and pedal arch endovascular treatment will be presented.
format article
author Stavros Spiliopoulos
Lazaros Reppas
Konstantinos Palialexis
Elias Brountzos
author_facet Stavros Spiliopoulos
Lazaros Reppas
Konstantinos Palialexis
Elias Brountzos
author_sort Stavros Spiliopoulos
title Below-the-ankle Angioplasty: Current Evidence and Future Perspectives
title_short Below-the-ankle Angioplasty: Current Evidence and Future Perspectives
title_full Below-the-ankle Angioplasty: Current Evidence and Future Perspectives
title_fullStr Below-the-ankle Angioplasty: Current Evidence and Future Perspectives
title_full_unstemmed Below-the-ankle Angioplasty: Current Evidence and Future Perspectives
title_sort below-the-ankle angioplasty: current evidence and future perspectives
publisher Radcliffe Medical Media
publishDate 2019
url https://doaj.org/article/2e06cc7d8ff844d09269b8bbd1eb4002
work_keys_str_mv AT stavrosspiliopoulos belowtheankleangioplastycurrentevidenceandfutureperspectives
AT lazarosreppas belowtheankleangioplastycurrentevidenceandfutureperspectives
AT konstantinospalialexis belowtheankleangioplastycurrentevidenceandfutureperspectives
AT eliasbrountzos belowtheankleangioplastycurrentevidenceandfutureperspectives
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