Critical limb ischemia

Original Contribution

Histopathologic Characterization of Chronic Total Occlusions by Directional Atherectomy: The HIPACT Study

06/08/2021

Haris Umer Usman, MD, MS¹; Vincent Varghese, DO¹; Sean Janzer, MD²; Jon C. George, MD²

Haris Umer Usman, MD, MS1; Vincent Va...

While several studies have analyzed atherectomy samples, no study to date has correlated the tissue characteristics of CTOs with clinical outcomes. This pilot study assessed lesions in order to predict clinical outcomes based on lesion...

While several studies have...

06/08/2021

Journal of Invasive Cardiology

Case Report and Brief Review

Transcollateral Intra-Arterial Retrograde Ostial Superficial Femoral Artery Chronic Total Occlusion Recanalization for Critical Limb Ischemia

06/01/2021

Sehrish Memon, MD; Jon C. George, MD; Sanjog Kalra, MD; Sean F. Janzer, MD

Sehrish Memon, MD; Jon C. George, MD...

We present a case of ostial superficial femoral artery CTO in a patient with CLI who underwent successful revascularization via TCIA strategy with a successful outcome.

We present a case of ostial...

06/01/2021

CLI Perspectives

Strategies for Failed Antegrade Approach for Infrainguinal CTOs

12/21/2020

CLI Perspectives is headed by section editor J.A. Mustapha, MD, Advanced Cardiac & Vascular Centers for Amputation Prevention, Grand Rapids, Michigan.

Dr. Mustapha interviews Mahmood Razavi, MD, St. Joseph Heart & Vascular Center, Orange, California.

CLI Perspectives is headed by section...

I don’t think there is such a thing as a “straightforward CTO” in below-the-knee vessels, since even a short occlusion can pose a significant challenge at times.

I don’t think there is such a...

12/21/2020

Cath Lab Digest

Case Report

Micropuncture Access of Femoral Artery: Micro-Wires Leading to Macro-Complications

12/17/2020

Michael Hust, MD, FACC, FSCAI¹; Oscar R. Rosales, MD²

¹University of Texas-McGovern School of Medicine, Houston; ²Memorial Hermann Heart and Vascular Institute; University of Texas-McGovern School of Medicine, Houston, Texas

Michael Hust, MD, FACC, FSCAI1; Oscar...

A 76-year-old female who developed sudden and severe left calf and foot pain after recent travel was found to have subtotal occlusion of the left popliteal artery and critical limb ischemia. Vascular access in the right CFA with a...

A 76-year-old female who...

12/17/2020

Vascular Disease Management

Clinical Review

Vessel Preparation: What is the Evidence in the BTK Segment?

07/29/2020

Ludovica Ettorre, MD¹; Giorgio Prouse, MD¹; Luca Giovannacci, MD¹; Jos C. van den Berg, MD, PhD²

¹Service of Vascular Surgery, Ospedale Regionale di Lugano Centro Vascolare Ticino, Lugano, Switzerland; ²Service of Interventional Radiology, Ospedale Regionale di Lugano Centro Vascolare Ticino, Lugano; Inselspital, Universitätsspital Bern, Universitätsinstitut für Diagnostische, Interventionelle und Pädiatrische Radiologie, Bern, Switzerland

Ludovica Ettorre, MD1; Giorgio Prouse...

This article discusses the importance of lesion preparation and reviews the technique and the materials to reduce the complications following inflation and deflation of the balloon with special attention to dissection in the BTK district.

This article discusses the...

07/29/2020

Vascular Disease Management

Clinical Review

Below-the-Knee Revascularization of Critical Limb Ischemia in Diabetic Patients

07/28/2020

Miguel Gutierrez¹; Sandra Vicente¹; Fernando Criado¹; Jesús Alfayate¹; Myriam Perera¹; Susana Cancer¹; Juan Pedro Sánchez²; Luis de Benito¹

¹Department of Vascular and Endovascular Surgery, Alcorcón University Hospital, Madrid; ²Podologist at the Department of Vascular and Endovascular Surgery, Alcorcón University Hospital, Madrid

Miguel Gutierrez1; Sandra Vicente1; F...

The establishment of a guide for the prevention, diagnosis, and treatment of diabetic foot and CLI is essential to address its management in the most cost-effective way.

The establishment of a guide for...

07/28/2020

Vascular Disease Management

Original Research

Preliminary Cost Estimates of Edetate Disodium Infusions for Critical Limb Ischemia in Patients With Diabetes Mellitus

07/08/2020

Ruben Porudominsky, MD¹; Francisco Ujueta, MD, MS¹; Ivan A. Arenas, MD, PhD²; Gervasio A. Lamas, MD^1,2

¹Department of Medicine at Mount Sinai Medical Center, Miami Beach, Florida; ²Columbia University Division of Cardiology at Mount Sinai Medical Center, Miami Beach, Florida

Ruben Porudominsky, MD1; Francisco Uj...

Patients with diabetes and PAD represent a high-risk subgroup with worse clinical outcomes. PAD may lead to CLI, limb amputations, and disability, increasing the financial burden on the patient and healthcare system.

Patients with diabetes and PAD...

07/08/2020

Vascular Disease Management

Case Report

Endovascular Revascularization of Native Arteries After Bypass Graft Failure in Patients With Critical Limb Ischemia

06/08/2020

Daniel Raskin, MD¹; Boris Khaitovich, MD¹; Shmuel Balan, RT¹; Daniel Silverberg, MD²;Moshe Halak, MD²; Uri Rimon, MD¹

¹Department of Diagnostic Imaging and ²Department of Vascular Surgery, Division of Surgery, Sheba Medical Center, Tel-Hashomer, Israel; Affiliated with the Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel

Daniel Raskin, MD1; Boris Khaitovich,...

This study reports technical success and short-term outcome following recanalization of native infrainguinal arteries after bypass graft failure in patients with CLI.

This study reports technical...

06/08/2020

Vascular Disease Management

Original Research

Outcomes of Patients Treated for Critical Limb Ischemia in an Outpatient Endovascular Center

06/08/2020

Raymond Dattilo, MD, FACC; Alexandra Dattilo, DO; Shawn Colby, RN

Flint Hills Heart, Vascular and Vein Clinic, Manhattan, Kansas

Raymond Dattilo, MD, FACC; Alexandra ...

The safety and efficacy of treating patients with critical limb ischemia in an outpatient endovascular center is comparable to published results obtained at hospital centers, researchers found.

The safety and efficacy of...

06/08/2020

Vascular Disease Management

Mississippi Delta Miracle: Angiographic Screening Yields Dramatic Reduction in Amputations

05/19/2020

Foluso A. Fakorede¹, MD, Bynthia M. Anose², PhD, Mary L. Yost³, MBA, Amy E. Harlow¹, RN, BSN, Brad J. Martinsen⁴, PhD

Foluso A. Fakorede1, MD, Bynthia M. A...

Prior to the affiliation of a peripheral interventional cardiologist within BMC, the institution performed zero peripheral angiograms and 56 major amputations. In just a few short years, CVSCM facilitated an 87.5% decrease in the...

Prior to the affiliation of a...

05/19/2020

Cath Lab Digest