Advanced

Role of subintimal angioplasty (SAP) for critical limb ischemia

Åkesson, Michael LU (2008) In Italian Journal of Vascular and Endovascular Surgery 15(3). p.187-199
Abstract
Ever since Dr. Bolia et al. published their paper of intentional subintimal angioplasty more than 20 years ago it have become a more and more used technique in several centres around the world. Its popularities have gained the last 5 years, following a number of publications from various centres in Europe and the USA. After its initial successes in the femoropopliteal segment, the techniques has been extended to the infrapopliteal segment recanalization of long tibial occlusions and the possibility of reconstituting the trifurcation have proved to be most useful in the treatment of patients with critical limb ischemia. Primary success rates of more than 85% can be expected in the infrainguinal and the infrapopliteal segment. Primary... (More)
Ever since Dr. Bolia et al. published their paper of intentional subintimal angioplasty more than 20 years ago it have become a more and more used technique in several centres around the world. Its popularities have gained the last 5 years, following a number of publications from various centres in Europe and the USA. After its initial successes in the femoropopliteal segment, the techniques has been extended to the infrapopliteal segment recanalization of long tibial occlusions and the possibility of reconstituting the trifurcation have proved to be most useful in the treatment of patients with critical limb ischemia. Primary success rates of more than 85% can be expected in the infrainguinal and the infrapopliteal segment. Primary patency of 40% at >3 years in the infrainguinal arteries for critical limb ischemia has been reported. Limb salvage rates have been consistently, high at around 85 to 90% at I year. Development of new dedicated devices and the use of stents in the subintimal recanalization have facilitated the technique and improved the technical and clinical outcome. Subintimal angioplasty has proved to be a useful and inexpensive way to treat critical limb ischemia. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Ischemia, Angioplasty, Extremities
in
Italian Journal of Vascular and Endovascular Surgery
volume
15
issue
3
pages
187 - 199
publisher
Edizioni Minerva Medica
external identifiers
  • wos:000259874800007
  • scopus:55349093600
ISSN
1824-4777
language
English
LU publication?
yes
id
4732f69c-828d-4286-9173-d4d1a30d6bb6 (old id 1285780)
date added to LUP
2009-02-06 09:24:12
date last changed
2017-01-01 04:30:26
@article{4732f69c-828d-4286-9173-d4d1a30d6bb6,
  abstract     = {Ever since Dr. Bolia et al. published their paper of intentional subintimal angioplasty more than 20 years ago it have become a more and more used technique in several centres around the world. Its popularities have gained the last 5 years, following a number of publications from various centres in Europe and the USA. After its initial successes in the femoropopliteal segment, the techniques has been extended to the infrapopliteal segment recanalization of long tibial occlusions and the possibility of reconstituting the trifurcation have proved to be most useful in the treatment of patients with critical limb ischemia. Primary success rates of more than 85% can be expected in the infrainguinal and the infrapopliteal segment. Primary patency of 40% at >3 years in the infrainguinal arteries for critical limb ischemia has been reported. Limb salvage rates have been consistently, high at around 85 to 90% at I year. Development of new dedicated devices and the use of stents in the subintimal recanalization have facilitated the technique and improved the technical and clinical outcome. Subintimal angioplasty has proved to be a useful and inexpensive way to treat critical limb ischemia.},
  author       = {Åkesson, Michael},
  issn         = {1824-4777},
  keyword      = {Ischemia,Angioplasty,Extremities},
  language     = {eng},
  number       = {3},
  pages        = {187--199},
  publisher    = {Edizioni Minerva Medica},
  series       = {Italian Journal of Vascular and Endovascular Surgery},
  title        = {Role of subintimal angioplasty (SAP) for critical limb ischemia},
  volume       = {15},
  year         = {2008},
}