Dorsal-plantar loop technique using chronic total occlusion devices via anterior tibial artery

Seunghwan Kim, Donghoon Choi, Sanghoon Shin, Dong Ho Shin, Jung Sun Kim, Byeong Keuk Kim, Young Guk Ko, Myeong Ki Hong, Yangsoo Jang

Research output: Contribution to journalArticlepeer-review

5 Citations (Scopus)

Abstract

The effectiveness of below-the-knee (BTK) percutaneous transluminal angioplasty to obtain successful revascularization in patients with critical limb ischemia has been well established, and many of these patients with chronic lower-extremity disease have been treated by endovascular intervention as the firstline treatment. Dorsal-plantaer loop technique is one of the new BTK interventional techiniques, and includes recanalization of both pedal and plantar arteries and their anatomical anastomoses. This method generally needs two approaches simultaneously, including antegrade and retrograde. In this report, however, we describe a case in which dorsal-plantar loop technique with only one antegrade approach, using chronic total occlusion devices via anterior tibial artery, was used to successfully recanalize BTK arteries. We think that this new technique, which may represent a safe and feasible endovascular option to avoid more invasive, time-consuming, and riskier surgical procedures, especially in end-stage renal disease and diabetes, should be considered whenever the foot is at risk, and results of above-the-ankle percutaneous transluminal angioplasty remain unsatisfactory or insufficient to achieve limb salvage.

Original languageEnglish
Pages (from-to)534-537
Number of pages4
JournalYonsei medical journal
Volume54
Issue number2
DOIs
Publication statusPublished - 2013 Mar

All Science Journal Classification (ASJC) codes

  • Medicine(all)

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