Retrograde Pedal Access via Occluded Arteries in Endovascular Treatment of Critical Limb Ischemia

dc.authorscopusid55072689200
dc.authorscopusid57218616691
dc.authorscopusid57197837022
dc.authorscopusid36196212400
dc.authorscopusid55680996600
dc.authorscopusid35264304200
dc.contributor.authorUyanık,S.A.
dc.contributor.authorÖğüşlü,U.
dc.contributor.authorYılmaz,B.
dc.contributor.authorÇevik,H.
dc.contributor.authorAtlı,E.
dc.contributor.authorGümüş,B.
dc.date.accessioned2024-05-25T12:34:01Z
dc.date.available2024-05-25T12:34:01Z
dc.date.issued2021
dc.departmentOkan Universityen_US
dc.department-tempUyanık S.A., Department of Radiology, Okan University Hospital, Aydınlı Cad. No: 2 Okan Universitesi Hastanesi İçmeler, Tuzla, İstanbul, Turkey; Öğüşlü U., Department of Radiology, Okan University Hospital, Aydınlı Cad. No: 2 Okan Universitesi Hastanesi İçmeler, Tuzla, İstanbul, Turkey; Yılmaz B., Department of Radiology, Okan University Hospital, Aydınlı Cad. No: 2 Okan Universitesi Hastanesi İçmeler, Tuzla, İstanbul, Turkey; Çevik H., Department of Radiology, Okan University Hospital, Aydınlı Cad. No: 2 Okan Universitesi Hastanesi İçmeler, Tuzla, İstanbul, Turkey; Atlı E., Department of Radiology, Okan University Hospital, Aydınlı Cad. No: 2 Okan Universitesi Hastanesi İçmeler, Tuzla, İstanbul, Turkey; Gümüş B., Department of Radiology, Okan University Hospital, Aydınlı Cad. No: 2 Okan Universitesi Hastanesi İçmeler, Tuzla, İstanbul, Turkeyen_US
dc.description.abstractPurpose: To evaluate the feasibility and technical outcomes of retrograde access via occluded pedal arteries in endovascular treatment of critical limb ischemia (CLI) when the conventional antegrade approach fails. Materials and Methods: One hundred fifty-one patients with CLI (age 69 y ± 10.5; 116 men) who were not surgical candidates and were treated via retrograde pedal access between January 2016 and January 2018 were evaluated retrospectively. Seventy patients in whom retrograde access was performed through occluded arteries constituted the occluded group, and 81 patients who were treated via retrograde access from patent arteries constituted the nonoccluded group. Pedal access success, lesion crossing success, angiographic success, overall technical success, and procedure-related complications were evaluated and compared between groups. Results: Pedal access success (74 of 78 vs 83 of 87 attempts; P = .873) and lesion crossing success (64 of 78 vs 77 of 87 lesions; P = .340) were comparable between subgroups. Angiographic success (54 of 78 vs 77 of 87 lesions; P = .012) and overall technical success (48 of 70 vs 72 of 81 patients; P = .004) rates were lower in the occluded group. Procedure-related complications were similar between groups (P = .096). Conclusions: Retrograde pedal access from occluded pedal arteries is a feasible option when an antegrade approach fails in endovascular treatment of CLI. Although it has lower technical success, its use enables angiosome-directed therapy and has the potential to improve the outcomes of the procedure. © 2020 SIRen_US
dc.identifier.citationcount5
dc.identifier.doi10.1016/j.jvir.2020.08.034
dc.identifier.endpage172en_US
dc.identifier.issn1051-0443
dc.identifier.issue2en_US
dc.identifier.pmidPubMed:33248916
dc.identifier.scopus2-s2.0-85096837245
dc.identifier.scopusqualityQ2
dc.identifier.startpage164en_US
dc.identifier.urihttps://doi.org/10.1016/j.jvir.2020.08.034
dc.identifier.urihttps://hdl.handle.net/20.500.14517/2521
dc.identifier.volume32en_US
dc.identifier.wosqualityQ2
dc.language.isoen
dc.publisherElsevier Inc.en_US
dc.relation.ispartofJournal of Vascular and Interventional Radiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.scopus.citedbyCount5
dc.subject[No Keyword Available]en_US
dc.titleRetrograde Pedal Access via Occluded Arteries in Endovascular Treatment of Critical Limb Ischemiaen_US
dc.typeArticleen_US
dspace.entity.typePublication

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