Procedimientos endovasculares infrapoplíteosindicaciones clínicas y tipo de lesiones

  1. San Norberto García, Enrique
  2. Merino Díaz, Borja
  3. Gastambide, María Victoria
  4. Taylor, J.
  5. Estévez, I.
  6. Fuente, R.
  7. Vaquero Puerta, Carlos
Journal:
Revista española de investigaciones quirúrgicas

ISSN: 1139-8264

Year of publication: 2013

Volume: 16

Issue: 1

Pages: 32-36

Type: Article

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Abstract

PTA of infrapopliteal arteries is a safe technique, with low periprocedural morbimortality. PTA is the initial therapy in patients with critical ischemia of the limbs. In the infrapopliteal area, the TASC classification is an useful prognostic tool, but it results useless to decide between endovascular techniques or open surgical repair. The guidelines for revascularization should be based on clinical criteria, not on angiographic findings. Surgery could be indicated in patients with low surgical risk, good run-off in the foot, and good saphenous vein. The strategies based on wound or ulcer related artery (angiosomes) increase the health possibilities of the ischemic lesions in ankle and foot.

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