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Semin intervent Radiol 2023; 40(02): 177-182
DOI: 10.1055/s-0043-1768608
Review Article

Techniques Providing Endpoints for Revascularization in Chronic Limb-Threatening Ischemia

Oleksandra Kutsenko
1   Department of Radiology, Miami Cardiac and Vascular Institute, Miami, Florida
,
Jill Sommerset
2   Advanced Vascular Centers, Portland, Oregon
,
Venita Chandra
3   Department of Vascular Surgery, Stanford University School of Medicine, Redwood City, California
,
Yolanda Bryce
4   Department of Radiology, Memorial Sloan Kettering Cancer Center, New York, New York
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Abstract

It is frequently difficult to estimate the revascularization endpoint in patients with chronic limb-threatening ischemia where there may be extensive multifocal multiarterial disease. There have been attempts to identify an endpoint for revascularization procedures, but none has become the standard of care. An ideal indicator of an endpoint can objectively quantify tissue perfusion, predict wound healing, and is easily and efficiently used intraprocedurally to assist real-time decision making on whether adequate perfusion has been reached. Candidate techniques to evaluate endpoints post-revascularization are discussed here.

Keywords

peripheral arterial disease - chronic limb-threatening ischemia - interventional radiology - angioplasty - stent - wound


Publication History

Article published online:
16 June 2023

© 2023. Thieme. All rights reserved.

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