PMID- 36910034 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230314 IS - 1878-5409 (Electronic) IS - 1878-5409 (Linking) VI - 27 IP - 3 DP - 2023 Mar TI - The no-flow phenomenon following drug-coated balloon angioplasty in a patient with chronic limb-threatening ischemia and a history of below-knee amputation. PG - 132-135 LID - 10.1016/j.jccase.2022.12.002 [doi] AB - The endovascular treatment using a drug-coated balloon (DCB) reduces restenosis and target vessel re-vascularization rate in patients with peripheral artery disease such as claudication and chronic limb-threatening ischemia (CLTI). However, its safety and efficacy in patients with post-below-knee amputation remain unknown. We had a patient with CLTI and a history of below-knee amputation, who suffered a no-flow phenomenon following DCB angioplasty that required above-knee amputation. DCB angioplasty might not be appropriate for those with severe CLTI and histories of amputation. LEARNING OBJECTIVE: The present report describes the risk of endovascular treatment using a drug-coated balloon for chronic limb-threatening ischemia patients with a below-knee amputated limb. CI - (c) 2022 Japanese College of Cardiology. Published by Elsevier Ltd. . FAU - Sobajima, Mituso AU - Sobajima M AD - The Second Department of Internal Medicine, Graduate School of Medicine, University of Toyama, Toyama, Japan. FAU - Imamura, Teruhiko AU - Imamura T AD - The Second Department of Internal Medicine, Graduate School of Medicine, University of Toyama, Toyama, Japan. FAU - Fukuo, Atsuko AU - Fukuo A AD - The Second Department of Internal Medicine, Graduate School of Medicine, University of Toyama, Toyama, Japan. FAU - Ueno, Yohei AU - Ueno Y AD - The Second Department of Internal Medicine, Graduate School of Medicine, University of Toyama, Toyama, Japan. FAU - Onoda, Hiroshi AU - Onoda H AD - The Second Department of Internal Medicine, Graduate School of Medicine, University of Toyama, Toyama, Japan. FAU - Ueno, Hiroshi AU - Ueno H AD - The Second Department of Internal Medicine, Graduate School of Medicine, University of Toyama, Toyama, Japan. FAU - Kinugawa, Koichiro AU - Kinugawa K AD - The Second Department of Internal Medicine, Graduate School of Medicine, University of Toyama, Toyama, Japan. LA - eng PT - Case Reports DEP - 20230301 PL - Japan TA - J Cardiol Cases JT - Journal of cardiology cases JID - 101549579 PMC - PMC9995684 OTO - NOTNLM OT - Chronic limb-threatening ischemia OT - Downstream effect OT - Drug-coated balloon OT - Endovascular treatment OT - No-flow phenomenon COIS- None of the authors has a conflict of interest to disclose in connection with our manuscript. EDAT- 2023/03/14 06:00 MHDA- 2023/03/14 06:01 PMCR- 2023/03/01 CRDT- 2023/03/13 04:07 PHST- 2022/07/06 00:00 [received] PHST- 2022/10/18 00:00 [revised] PHST- 2022/11/28 00:00 [accepted] PHST- 2023/03/13 04:07 [entrez] PHST- 2023/03/14 06:00 [pubmed] PHST- 2023/03/14 06:01 [medline] PHST- 2023/03/01 00:00 [pmc-release] AID - S1878-5409(22)00196-7 [pii] AID - 10.1016/j.jccase.2022.12.002 [doi] PST - epublish SO - J Cardiol Cases. 2023 Mar 1;27(3):132-135. doi: 10.1016/j.jccase.2022.12.002. eCollection 2023 Mar.