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Reduction of Radiation Exposure during Endovascular Treatment of Peripheral Arterial Disease Combining Fiber Optic RealShape Technology and Intravascular Ultrasound
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Stent-based revascularization for complex lesions in PAD

Jason d'SOUZA1, Jay Giri2, Taisei Kobayashi3

  • 1Internal Medicine Residency, Florida Hospital, Orlando, FL, USA.

The Journal of Cardiovascular Surgery
|May 5, 2017
PubMed

Insights

Endovascular treatments for severe lower extremity peripheral artery disease (PAD) show promise, particularly stent-based revascularization for complex TASC C/D lesions. Ongoing technological advancements improve outcomes for patients with claudication.

Area of Science:

  • Vascular Surgery
  • Interventional Cardiology
  • Endovascular Therapy

Background:

  • Peripheral artery disease (PAD) significantly impacts adult health, causing morbidity and mortality.
  • Transatlantic Inter-Society Consensus II (TASC II) guidelines classify PAD lesion complexity.
  • TASC C/D lesions represent complex cases requiring advanced intervention.

Purpose of the Study:

  • To review endovascular approaches for TASC C/D lower extremity PAD in claudication patients.
  • To assess the efficacy of current endovascular strategies for complex PAD.
  • To identify data limitations and future directions in PAD treatment.

Main Methods:

  • Systematic review of published data on endovascular interventions for TASC C/D lower extremity PAD.
  • Analysis of studies focusing on patients with claudication.
  • Evaluation of procedural success, quality of life, and patency rates.

Main Results:

  • Endovascular approaches demonstrate success in procedural outcomes, quality of life, and patency for TASC C/D PAD.
  • Stent-based revascularization is favored for aorto-iliac and femoral-popliteal arteries.
  • Technological advancements enhance endovascular intervention success for complex lesions.

Conclusions:

  • Endovascular therapy, especially stent-based revascularization, is effective for complex lower extremity PAD (TASC C/D).
  • Methodological improvements in studies are needed for clearer evidence.
  • Continued innovation in endovascular technology offers improved treatment options.

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