Contemporary Infrapopliteal Intervention for Limb Salvage and Wound Healing

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  • Kawarada Osami
    Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center Department of Advanced Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University
  • Yasuda Satoshi
    Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center Department of Advanced Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University
  • Huang Janice
    Division of Cardiovascular Medicine, Stanford University Medical Center
  • Honda Yasuhiro
    Division of Cardiovascular Medicine, Stanford University Medical Center
  • Fitzgerald Peter J.
    Division of Cardiovascular Medicine, Stanford University Medical Center
  • Ishihara Masaharu
    Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center Department of Advanced Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University
  • Ogawa Hisao
    Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University

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Other Title
  • Contemporary Infrapopliteal Intervention for Limb Salvage and Wound Healing : Harmonization of Revascularization and Wound Management
  • – Harmonization of Revascularization and Wound Management –

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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. (Circ J 2014; 78: 1540–1549)

Journal

  • Circulation Journal

    Circulation Journal 78 (7), 1540-1549, 2014

    The Japanese Circulation Society

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