PMID- 32571125
OWN - NLM
STAT- MEDLINE
DCOM- 20201102
LR  - 20221207
IS  - 1545-1550 (Electronic)
IS  - 1526-6028 (Linking)
VI  - 27
IP  - 4
DP  - 2020 Aug
TI  - Balloon Angioplasty of Infrapopliteal Arteries: A Systematic Review and Proposed 
      Algorithm for Optimal Endovascular Therapy.
PG  - 547-564
LID - 10.1177/1526602820931488 [doi]
AB  - Endovascular revascularization has been increasingly utilized to treat patients 
      with chronic limb-threatening ischemia (CLTI), particularly atherosclerotic 
      disease in the infrapopliteal arteries. Lesions of the infrapopliteal arteries 
      are the result of 2 different etiologies: medial calcification and intimal 
      atheromatous plaque. Although several devices are available for endovascular 
      treatment of infrapopliteal lesions, balloon angioplasty still comprises the 
      mainstay of therapy due to a lack of purpose-built devices. The mechanism of 
      balloon angioplasty consists of adventitial stretching, medial necrosis, and 
      dissection or plaque fracture. In many cases, the diffuse nature of 
      infrapopliteal disease and plaque complexity may lead to dissection, recoil, and 
      early restenosis. Optimal balloon angioplasty requires careful attention to 
      assessment of vessel calcification, appropriate vessel sizing, and the use of 
      long balloons with prolonged inflation times, as outlined in a treatment 
      algorithm based on this systematic review. Further development of specific 
      devices for this arterial segment are warranted, including devices for preventing 
      recoil (eg, dedicated atherectomy devices), treating dissections (eg, tacks, 
      stents), and preventing neointimal hyperplasia (eg, novel drug delivery 
      techniques and drug-eluting stents). Further understanding of infrapopliteal 
      disease, along with the development of new technologies, will help optimize the 
      durability of endovascular interventions and ultimately improve the limb-related 
      outcomes of patients with CLTI.
FAU - Giannopoulos, Stefanos
AU  - Giannopoulos S
AUID- ORCID: 0000-0002-1942-911X
AD  - Division of Cardiology, Rocky Mountain Regional VA Medical Center, University of 
      Colorado, Denver, CO, USA.
FAU - Varcoe, Ramon L
AU  - Varcoe RL
AUID- ORCID: 0000-0001-5611-6991
AD  - Department of Surgery, Prince of Wales Hospital, Faculty of Medicine, University 
      of New South Wales, The Vascular Institute, Prince of Wales Hospital, Sydney, New 
      South Wales, Australia.
FAU - Lichtenberg, Michael
AU  - Lichtenberg M
AUID- ORCID: 0000-0003-2647-9876
AD  - Angiology Department, Vascular Centre Clinic Arnsberg, Germany.
FAU - Rundback, John
AU  - Rundback J
AUID- ORCID: 0000-0002-8376-5644
AD  - Advanced Interventional & Vascular Services LLP, Teaneck, NJ, USA.
FAU - Brodmann, Marianne
AU  - Brodmann M
AD  - Division of Angiology, Department of Internal Medicine, Medical University of 
      Graz, Austria.
FAU - Zeller, Thomas
AU  - Zeller T
AUID- ORCID: 0000-0003-2704-3871
AD  - Department of Angiology, Universitats-Herzzentrum Bad Krozingen, Germany.
FAU - Schneider, Peter A
AU  - Schneider PA
AD  - Division of Vascular and Endovascular Surgery, University of California at San 
      Francisco, CA, USA.
FAU - Armstrong, Ehrin J
AU  - Armstrong EJ
AUID- ORCID: 0000-0002-1381-4754
AD  - Division of Cardiology, Rocky Mountain Regional VA Medical Center, University of 
      Colorado, Denver, CO, USA.
LA  - eng
PT  - Journal Article
PT  - Systematic Review
DEP - 20200617
PL  - United States
TA  - J Endovasc Ther
JT  - Journal of endovascular therapy : an official journal of the International 
      Society of Endovascular Specialists
JID - 100896915
SB  - IM
MH  - *Algorithms
MH  - Amputation, Surgical
MH  - *Angioplasty, Balloon/adverse effects/instrumentation/mortality
MH  - Chronic Disease
MH  - Clinical Decision-Making
MH  - *Decision Support Techniques
MH  - Humans
MH  - Ischemia/diagnostic imaging/mortality/physiopathology/*therapy
MH  - Limb Salvage
MH  - Patient Selection
MH  - Peripheral Arterial Disease/diagnostic imaging/mortality/physiopathology/*therapy
MH  - *Popliteal Artery/diagnostic imaging/physiopathology
MH  - Recurrence
MH  - Risk Factors
MH  - Treatment Outcome
MH  - Vascular Patency
OTO - NOTNLM
OT  - atherectomy
OT  - balloon angioplasty
OT  - calcification
OT  - chronic limb-threatening ischemia
OT  - critical limb ischemia
OT  - dissection
OT  - drug-coated balloon
OT  - drug-eluting stent
OT  - endovascular revascularization
OT  - infrapopliteal disease
OT  - recoil
OT  - residual stenosis
OT  - restenosis
OT  - stent
EDAT- 2020/06/24 06:00
MHDA- 2020/11/03 06:00
CRDT- 2020/06/24 06:00
PHST- 2020/06/24 06:00 [pubmed]
PHST- 2020/11/03 06:00 [medline]
PHST- 2020/06/24 06:00 [entrez]
AID - 10.1177/1526602820931488 [doi]
PST - ppublish
SO  - J Endovasc Ther. 2020 Aug;27(4):547-564. doi: 10.1177/1526602820931488. Epub 2020 
      Jun 17.