IMR Press / RCM / Volume 12 / Issue 1 / DOI: 10.3909/ricm0553

Reviews in Cardiovascular Medicine (RCM) is published by IMR Press from Volume 19 Issue 1 (2018). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with MedReviews, LLC.

Open Access Case Review
Insights Into Endovascular Revascularization in Limb Salvage Procedures: "Antegrade-Retrograde" Technique in Chronic Total Occlusion
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1 William Beaumont Hospital, Royal Oak, MI
2 Harper University Hospital, Detroit Medical Center, Wayne State University, Detroit, MI
Rev. Cardiovasc. Med. 2011, 12(1), 42–47; https://doi.org/10.3909/ricm0553
Published: 30 March 2011
Abstract
Significant occlusions of the peripheral arterial circulation, responsible for chronic limb ischemia (CLI), are a serious cause of morbidity, mortality, and poor quality of life. The currently available treatment options for patients with severely symptomatic CLI include bypass surgery and arterial revascularization. Percutaneous transluminal angioplasty for CLI is shown to be as effective as bypass surgery at high-volume centers, and it also offers a less invasive alternative, leading to quicker patient recovery times and lower short-term costs. This case report reviews the current techniques available and discusses an "antegrade-retrograde" angioplasty approach to successfully recanalize such challenging obstructions.
Keywords
Percutaneous transluminal angioplasty
Chronic limb ischemia
Peripheral arterial disease
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