Anterograde or retrograde arterial access for diabetic limb revascularization
AbstractThe selection of an optimal vascular access strategy for lower limb endovascular intervention is key for procedural safety and success, and is particularly relevant in diabetic patients, in whom extensive occlusive disease commonly involves the infrapopliteal arteries. Individualizing vascul...
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| Veröffentlicht in: | Seminars in vascular surgery 2018-06, Vol.31 (2), p.76-80 |
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| container_title | Seminars in vascular surgery |
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| creator | Bosiers, Marc Deloose, Koen Callaert, Joren |
| description | AbstractThe selection of an optimal vascular access strategy for lower limb endovascular intervention is key for procedural safety and success, and is particularly relevant in diabetic patients, in whom extensive occlusive disease commonly involves the infrapopliteal arteries. Individualizing vascular access requires careful planning, including determining normal and abnormal arterial anatomy; the patient’s co-medical conditions, especially renal insufficiency; and review of noninvasive vascular laboratory testing. It is essential to be cognizant of the technical nuances, relative safety, advantages, and disadvantages of each potential access site. Retrograde and antegrade femoral approaches; upper extremity access via the radial, brachial, or axillary arteries; or retrograde access via the below-the-knee popliteal or pedal arteries should all be considered in endovascular intervention planning. |
| doi_str_mv | 10.1053/j.semvascsurg.2018.12.005 |
| format | Article |
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Individualizing vascular access requires careful planning, including determining normal and abnormal arterial anatomy; the patient’s co-medical conditions, especially renal insufficiency; and review of noninvasive vascular laboratory testing. It is essential to be cognizant of the technical nuances, relative safety, advantages, and disadvantages of each potential access site. Retrograde and antegrade femoral approaches; upper extremity access via the radial, brachial, or axillary arteries; or retrograde access via the below-the-knee popliteal or pedal arteries should all be considered in endovascular intervention planning.</description><identifier>ISSN: 0895-7967</identifier><identifier>EISSN: 1558-4518</identifier><identifier>DOI: 10.1053/j.semvascsurg.2018.12.005</identifier><identifier>PMID: 30876644</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Catheterization, Peripheral - adverse effects ; Catheterization, Peripheral - methods ; Clinical Decision-Making ; Diabetic Foot - diagnosis ; Diabetic Foot - physiopathology ; Diabetic Foot - surgery ; Endovascular Procedures - adverse effects ; Endovascular Procedures - methods ; Humans ; Lower Extremity - blood supply ; Predictive Value of Tests ; Punctures ; Regional Blood Flow ; Risk Factors ; Surgery ; Treatment Outcome ; Upper Extremity - blood supply ; Wound Healing</subject><ispartof>Seminars in vascular surgery, 2018-06, Vol.31 (2), p.76-80</ispartof><rights>2018</rights><rights>Copyright © 2018. 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Individualizing vascular access requires careful planning, including determining normal and abnormal arterial anatomy; the patient’s co-medical conditions, especially renal insufficiency; and review of noninvasive vascular laboratory testing. It is essential to be cognizant of the technical nuances, relative safety, advantages, and disadvantages of each potential access site. 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| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Catheterization, Peripheral - adverse effects Catheterization, Peripheral - methods Clinical Decision-Making Diabetic Foot - diagnosis Diabetic Foot - physiopathology Diabetic Foot - surgery Endovascular Procedures - adverse effects Endovascular Procedures - methods Humans Lower Extremity - blood supply Predictive Value of Tests Punctures Regional Blood Flow Risk Factors Surgery Treatment Outcome Upper Extremity - blood supply Wound Healing |
| title | Anterograde or retrograde arterial access for diabetic limb revascularization |
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