PMID- 33670461 OWN - NLM STAT- MEDLINE DCOM- 20210419 LR - 20231110 IS - 1422-0067 (Electronic) IS - 1422-0067 (Linking) VI - 22 IP - 4 DP - 2021 Feb 18 TI - Outcomes of Lower Extremity Endovascular Revascularization: Potential Predictors and Prevention Strategies. LID - 10.3390/ijms22042002 [doi] LID - 2002 AB - Peripheral artery disease (PAD) is a manifestation of atherosclerosis, which may affect arteries of the lower extremities. The most dangerous PAD complication is chronic limb-threatening ischemia (CLTI). Without revascularization, CLTI often causes limb loss. However, neither open surgical revascularization nor endovascular treatment (EVT) ensure long-term success and freedom from restenosis and revascularization failure. In recent years, EVT has gained growing acceptance among all vascular specialties, becoming the primary approach of revascularization in patients with CLTI. In clinical practice, different clinical outcomes after EVT in patients with similar comorbidities undergoing the same procedure (in terms of revascularization technique and localization of the disease) cause unsolved issues that need to be addressed. Nowadays, risk management of revascularization failure is one of the major challenges in the vascular field. The aim of this literature review is to identify potential predictors for lower extremity endovascular revascularization outcomes and possible prevention strategies. FAU - Biscetti, Federico AU - Biscetti F AUID- ORCID: 0000-0001-7449-657X AD - Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Roma, Italy. AD - Cardiovascular Internal Medicine Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Roma, Italy. FAU - Nardella, Elisabetta AU - Nardella E AUID- ORCID: 0000-0001-7119-0364 AD - Department of Medical and Surgical Sciences, Universita Cattolica del Sacro Cuore, 00168 Roma, Italy. FAU - Rando, Maria Margherita AU - Rando MM AUID- ORCID: 0000-0003-3167-4748 AD - Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Roma, Italy. AD - Cardiovascular Internal Medicine Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Roma, Italy. FAU - Cecchini, Andrea Leonardo AU - Cecchini AL AD - Department of Medical and Surgical Sciences, Universita Cattolica del Sacro Cuore, 00168 Roma, Italy. FAU - Gasbarrini, Antonio AU - Gasbarrini A AD - Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Roma, Italy. AD - Department of Medical and Surgical Sciences, Universita Cattolica del Sacro Cuore, 00168 Roma, Italy. FAU - Massetti, Massimo AU - Massetti M AD - Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Roma, Italy. AD - Department of Cardiovascular Sciences, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Roma, Italy. FAU - Flex, Andrea AU - Flex A AD - Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Roma, Italy. AD - Cardiovascular Internal Medicine Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Roma, Italy. AD - Department of Medical and Surgical Sciences, Universita Cattolica del Sacro Cuore, 00168 Roma, Italy. LA - eng PT - Journal Article PT - Review DEP - 20210218 PL - Switzerland TA - Int J Mol Sci JT - International journal of molecular sciences JID - 101092791 SB - IM MH - Endovascular Procedures/adverse effects/*methods MH - Humans MH - Ischemia/diagnosis/etiology/*prevention & control MH - Lower Extremity/*blood supply MH - Outcome Assessment, Health Care/methods/statistics & numerical data MH - Peripheral Arterial Disease/*surgery MH - Postoperative Complications/diagnosis/etiology/*prevention & control MH - Risk Assessment/methods/statistics & numerical data MH - Risk Factors PMC - PMC7922574 OTO - NOTNLM OT - chronic limb-threatening ischemia (CLTI) OT - peripheral artery disease (PAD) OT - revascularization COIS- The authors declare no conflict of interest. EDAT- 2021/03/07 06:00 MHDA- 2021/04/20 06:00 PMCR- 2021/02/18 CRDT- 2021/03/06 01:07 PHST- 2020/12/29 00:00 [received] PHST- 2021/02/11 00:00 [revised] PHST- 2021/02/12 00:00 [accepted] PHST- 2021/03/06 01:07 [entrez] PHST- 2021/03/07 06:00 [pubmed] PHST- 2021/04/20 06:00 [medline] PHST- 2021/02/18 00:00 [pmc-release] AID - ijms22042002 [pii] AID - ijms-22-02002 [pii] AID - 10.3390/ijms22042002 [doi] PST - epublish SO - Int J Mol Sci. 2021 Feb 18;22(4):2002. doi: 10.3390/ijms22042002.