Kawarada Osami, Yasuda Satoshi, Huang Janice, Honda Yasuhiro, Fitzgerald Peter J, Ishihara Masaharu, Ogawa Hisao
Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center.
Circ J. 2014 Jun 12.
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.
