Endovascular Intervention in the Treatment of Peripheral Artery Disease
Couto, M.; Figueróa, A.; Sotolongo, A.; Pérez, R.; Ojeda, J.é M.
Boletin de la Asociacion Medica de Puerto Rico 107(3): 47-51
2015
ISSN/ISBN: 0004-4849 PMID: 26742196 Document Number: 702695
Endovascular therapy has emerged as an essential part of the management we can offer patients suffering from peripheral arterial disease. The AHA/ACCF guidelines deemed ballon angioplasty as a reasonable alternative for patients with limb threatening lower extremity ischemia who are not candidates for an autologus venous graft. Endovascular treatment is most useful for the treatment of critical limb ischemia and should ensure adequate proximal flow before engaging in interventions of distal disease.To increase procedure success rate, a thorough diagnostic evaluation is fundamental. This evaluation must take into account amount of calcium, no flow occlusion, length of occlusion, and presence of collaterals. There are different tools and procedure techniques available. Among these are the medicated ballon angioplasty and atherectomy by laser or high-speed drill, among others. Further studies may consolidate endovascular intervention as a safe and effective management for patients with lower extremity arterial disease and possibly cause a change in the actual practice guidelines.
Document emailed within 1 workday
