Subintimal angioplasties in the treatment of critical ischemia of the lower extremities

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Abstract

An increasing number of centers throughout the world are gaining experience with subintimal angioplas­ty. Promising results have been reported and the application of the technique has been expanded to include the iliac and crural arteries. The technique of subintimal angioplasty and several variations are discussed. Although primary patency rates compared with bypass are relatively low for patients undergoing subintimal angioplasty, limb salvage rates remain high. When a subintimal angioplasty fails, it frequently does so with­out the recurrence of symptoms, especially when a gangrenous lesion or ulcer has healed. Given the many advantages of this technique, which include reduced anesthesia requirements, a minimally invasive approach, and potential reductions in length of stay and cost, subintimal angioplasty will continue to have a role in the treatment of lower extremity ischemia in the treatment of critical limb ischemia.

About the authors

М. Y. Kaputin

ГУ «Санкт-Петербургский научно-исследовательский институт скорой помощи им. И. И. Джанелидзе»

Author for correspondence.
Email: shabanov@mail.rcom.ru
Russian Federation, Санкт-Петербург

D. V. Ovcharenko

ГУ «Санкт-Петербургский научно-исследовательский институт скорой помощи им. И. И. Джанелидзе»

Email: shabanov@mail.rcom.ru
Russian Federation, Санкт-Петербург

V. V. Soroka

ГУ «Санкт-Петербургский научно-исследовательский институт скорой помощи им. И. И. Джанелидзе»

Email: shabanov@mail.rcom.ru
Russian Federation, Санкт-Петербург

I. E. Borovskii

ГУ «Санкт-Петербургский научно-исследовательский институт скорой помощи им. И. И. Джанелидзе»

Email: shabanov@mail.rcom.ru
Russian Federation, Санкт-Петербург

S. F. Bagnenko

ГУ «Санкт-Петербургский научно-исследовательский институт скорой помощи им. И. И. Джанелидзе»

Email: shabanov@mail.rcom.ru
Russian Federation, Санкт-Петербург

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