Related Experiment Videos

Native chronic total occlusion recanalization after lower limb bypass graft occlusion: a series of nine cases

Osami Kawarada1, Yoshiaki Yokoi

  • 1Department of Cardiology, Kishiwada Tokushukai Hospital, Kishiwada city, Osaka, Japan. kawarada@stanford.edu

Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions
|July 29, 2010
PubMed

Insights

Endovascular recanalization of native chronic total occlusions (CTOs) offers a promising approach for limb salvage in patients with bypass graft occlusion. This technique demonstrated high technical success and significant clinical improvement, preserving limbs effectively.

Area of Science:

  • Vascular Surgery
  • Endovascular Interventions
  • Peripheral Artery Disease

Background:

  • No established consensus exists for managing threatened limbs due to bypass graft occlusion.
  • Bypass graft occlusion presents a significant challenge in treating lower limb ischemia.

Purpose of the Study:

  • To evaluate the clinical utility of endovascular recanalization for native chronic total occlusions (CTOs) in cases of lower limb bypass graft occlusion.
  • To assess the effectiveness of this endovascular strategy in limb salvage and symptom improvement.

Main Methods:

  • Nine patients with limb-threatening ischemia underwent endovascular native CTO recanalization.
  • Techniques included conventional intraluminal and subintimal angioplasty with stenting.
  • Procedures targeted various arteries including iliofemoral, iliac, superficial femoral, and popliteal.

Main Results:

  • Technical success was achieved in 89% of cases with no major complications.
  • Significant improvements were observed in ankle-brachial index and skin perfusion pressure.
  • Marked clinical symptom improvement (Rutherford class) and successful limb salvage were achieved in all successful recanalizations.

Conclusions:

  • Endovascular recanalization of native CTOs is a viable and effective strategy for patients with lower limb bypass graft occlusion.
  • The procedure shows satisfactory outcomes, including limb salvage and symptom relief.
  • This preliminary study supports the use of endovascular recanalization in this challenging patient group.
Abstract

Related Concept Videos

Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...