Contemporary infrapopliteal intervention for limb salvage and wound healing: harmonization of revascularization and wound management

Circ J. 2014;78(7):1540-9. Epub 2014 Jun 12.

Abstract

Infrapopliteal arterial disease is a significant cause of critical limb ischemia (CLI), whether single-segment or multisegment disease. The collaboration between the tremendous advancements in endovascular technology and the refinement of endovascular techniques has renewed the classic infrapopliteal interventions during the past decade. With this paradigm shift in the treatment of CLI, the role of a comprehensive approach of different disciplines for tissue loss is becoming greater. Given the increasing global burden of CLI, we review the cutting-edge diagnostic and endovascular approaches to infrapopliteal artery disease, and the importance of wound management in optimizing clinical outcomes.

Publication types

  • Review

MeSH terms

  • Endovascular Procedures / methods*
  • Extremities* / blood supply
  • Extremities* / pathology
  • Extremities* / physiopathology
  • Extremities* / surgery
  • Humans
  • Ischemia* / pathology
  • Ischemia* / physiopathology
  • Ischemia* / surgery
  • Peripheral Arterial Disease* / pathology
  • Peripheral Arterial Disease* / physiopathology
  • Peripheral Arterial Disease* / surgery
  • Popliteal Artery* / pathology
  • Popliteal Artery* / physiopathology
  • Popliteal Artery* / surgery
  • Popliteal Artery* / transplantation
  • Wound Healing*