Clinical effects of single or double tibial artery revascularization in critical limb ischemia patients with tissue loss

Kobayashi, Noboru; Hirano, Keisuke; Yamawaki, Masahiro; Araki, Motoharu; Takimura, Hideyuki; Sakamoto, Yasunari; Mori, Shinsuke; Ito, Yoshiaki

doi:10.1016/j.jvs.2016.08.106

Cited by 26 publications

(10 citation statements)

References 23 publications

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“…They concluded that the achievement of double vessel inflows to the wound by double tibial artery revascularization positively affects wound healing, particularly in severe CLTI patients. 49…”

Section: Single or Multivessel Infrapopliteal Revascularization: Whatmentioning

confidence: 99%

“…First, due to the high restenosis rate typical of infrapopliteal vessel angioplasty a multiple vessel approach could provide enduring wound healing; even if restenosis occurs in one vessel, the perfusion from the other vessel could compensate. 49,51 Second, a multivessel recanalization could provide greater perfusion to the wound, improving healing speed. Perfusing the foot with 2 or 3 arteries could compensate for an incomplete pedal arch, improving wound healing and limb salvage.…”

Section: Single or Multivessel Infrapopliteal Revascularization: Whatmentioning

confidence: 99%

See 1 more Smart Citation

Foot Angiosomes: Instructions for Use

Ferraresi

Clerici

Casini

et al. 2020

The International Journal of Lower Extremity Wounds

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In the last 15 years an abundance of literature has demonstrated that angiosome-targeted revascularization, either endovascular or open, can lead to better clinical results in patients with chronic limb-threatening ischemia. According to this literature, the angiosome concept should guide our treatment strategy in every chronic limb-threatening ischemia patient. However, in our daily practice, its application is often difficult or impossible. Most foot wounds spread over multiple angiosomes and, moreover, the value of an angiosome-guided revascularization approach can vary according to vascular anatomy, collateral vessel network, type of revascularization, and wound. The aim of this article is to explore values and limits of the angiosome concept, and to propose some “instructions for use” regarding its application in our daily practice.

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Section: Single or Multivessel Infrapopliteal Revascularization: Whatmentioning

confidence: 99%

Section: Single or Multivessel Infrapopliteal Revascularization: Whatmentioning

confidence: 99%

Foot Angiosomes: Instructions for Use

Ferraresi

Clerici

Casini

et al. 2020

The International Journal of Lower Extremity Wounds

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“…Kobayashi et al 33 recently reported that revascularization of both the anterior and posterior tibial arteries, as opposed to single inflow revascularization to either artery alone, resulted in superior outcomes. In double-inflow-treated patients, the wound healing rate was higher, repeat intervention rate lower, and the time to wound healing shorter.…”

Section: Multiple Inflowmentioning

confidence: 99%

Lower extremity revascularization via endovascular and surgical approaches: A systematic review with emphasis on combined inflow and outflow revascularization

Mustapha¹,

Anose

Martinsen

et al. 2020

SAGE Open Medicine

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This review is intended to help clinicians and patients understand the present state of peripheral artery disease, appreciate the progression and presentation of critical limb ischemia/chronic limb-threatening ischemia, and make informed decisions regarding inflow and outflow endovascular revascularization and surgical treatment options within the context of current debates in the medical community. A controlled literature search was performed to obtain research on outcomes of critical limb ischemia patients undergoing complete leg revascularization for peripheral artery disease inflow and outflow disease. Data for this review were identified by queries of medical and life science databases, expert referral, and references from relevant papers published between 1997 and 2019, resulting in 48 articles. The literature review herein indicates that endovascular revascularization—including ballooning, stenting, and atherectomy—is an effective peripheral artery disease therapy for both above the knee and below the knee disease, and can safely and effectively treat both inflow and outflow disease. As such, it plays a leading role in the therapy of lower extremity artery disease.

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“…Whether a single vessel or multiple vessels intervention in the below-the-knee lesion is the optimal endpoint in chronic limb-threatening ischemia (CLTI) patients is still controversial. 14,15 Asian multidisciplinary consensus statement of CLTI management suggested that the goal of intervention for symptomatic isolated infrapopliteal artery diseases should be established at least 1 straight-line flow to the foot. 16 In addition, if technically feasible, a strategy to reconstruct as many arteries as possible is practical because this strategy can certainly provide robust blood flow to a severely ischemic foot and may enhance wound healing.…”

Section: Discussionmentioning

confidence: 99%

Successful Endovascular Therapy for Total Occlusion of the Distal Radial and Ulnar Artery with Palmar Artery Lesion in a Patient with Critical Hand Ischemia Associated with Systemic Sclerosis

Kudoh

Zen

Yanishi

et al. 2022

Vasc Endovascular Surg

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Vasculopathy of systemic sclerosis (SSc) is known to lead to severe limb ischemia and is often associated with macrovascular diseases. Revascularization of proximal macrovascular lesions that cause limb ischemia in patients with SSc has been recommended; however, it has rarely been reported for lesions below-the-elbow (BTE) involving the palmar artery. A 66-year-old female patient with SSc experienced critical hand ischemia (CHI) with gangrene of the left third finger that failed to respond to conventional pharmacological treatment. Angiography revealed total occlusion of the distal radial and ulnar arteries with a palmar artery lesion. Balloon angioplasty was performed for bilateral occlusive lesions around the wrist, which improved antegrade flow to the digital artery. Endovascular therapy may be a feasible option for BTE lesions involving palmar artery disease, presenting with CHI in SSc, when conventional conservative treatments fail.

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Clinical effects of single or double tibial artery revascularization in critical limb ischemia patients with tissue loss

Abstract: The achievement of double vessel inflows to the wound by double tibial artery revascularization positively affects wound healing, particularly in severe CLI patients.

Cited by 26 publications

References 23 publications

Foot Angiosomes: Instructions for Use

Foot Angiosomes: Instructions for Use

Lower extremity revascularization via endovascular and surgical approaches: A systematic review with emphasis on combined inflow and outflow revascularization

Successful Endovascular Therapy for Total Occlusion of the Distal Radial and Ulnar Artery with Palmar Artery Lesion in a Patient with Critical Hand Ischemia Associated with Systemic Sclerosis

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