Related Experiment Video

Updated: Nov 16, 2025

Assessing Therapeutic Angiogenesis in a Murine Model of Hindlimb Ischemia
07:48

Assessing Therapeutic Angiogenesis in a Murine Model of Hindlimb Ischemia

Published on: June 8, 2019

9.0K

Repeat BTK revascularization: when, how and what are the results?

Sabine Steiner1, Andrej Schmidt2

  • 1Division of Angiology, Department of Internal Medicine, Neurology and Dermatology, University Hospital Leipzig, Leipzig, Germany - Sabine.steiner@medizin.uni-leipzig.de.

The Journal of Cardiovascular Surgery
|February 26, 2021
PubMed

Insights

Repeat below-the-knee (BTK) endovascular interventions are necessary due to high re-stenosis rates after initial procedures. This review examines the need, options, and outcomes for repeat BTK interventions in chronic limb-threatening ischemia patients.

Area of Science:

  • Vascular Surgery
  • Interventional Cardiology
  • Endovascular Interventions

Background:

  • Increasing prevalence of chronic limb-threatening ischemia (CLTI) due to aging populations and diabetes.
  • Below-the-knee (BTK) lesions are common in CLTI, requiring complex revascularization.
  • Advances in endovascular techniques and devices have improved short-term outcomes for BTK interventions.

Purpose of the Study:

  • To summarize current knowledge on repeat BTK interventions for CLTI.
  • To review the indications, available options, and outcomes of repeat BTK procedures.
  • To present data on repeat interventions in complex peripheral arterial occlusive disease.

Main Methods:

  • Limited literature review of MEDLINE, EMBASE, and conference proceedings.
  • Keywords included "angioplasty," "endovascular intervention," "infrapopliteal," "tibial arteries," and "below the knee."
  • Search focused on English-language publications from 2000 to 2020.

Main Results:

  • High rates of re-stenosis and re-occlusion are observed after initial infrapopliteal interventions.
  • These high rates limit the long-term success of primary procedures.
  • Frequent repeat interventions are often necessary to maintain patency and limb salvage.

Conclusions:

  • Repeat BTK interventions are crucial for managing CLTI patients with recurrent disease.
  • Understanding the need, options, and outcomes of repeat procedures is essential for optimizing patient care.
  • Further research and data presentation are needed to refine strategies for repeat BTK interventions.
Abstract

More Related Videos

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke09:21

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke

Published on: January 18, 2018

12.3K
Predicting Amputation using Local Circulating Mononuclear Progenitor Cells in Angioplasty-treated Patients with Critical Limb Ischemia07:25

Predicting Amputation using Local Circulating Mononuclear Progenitor Cells in Angioplasty-treated Patients with Critical Limb Ischemia

Published on: September 22, 2020

3.6K

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...
127
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...
111
Varicose Veins II: Diagnostic Studies and Interprofessional Care01:26

Varicose Veins II: Diagnostic Studies and Interprofessional Care

Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...
71
Venous Thrombosis III: Interprofessional Care01:29

Venous Thrombosis III: Interprofessional Care

Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
109