TY  - BOOK
AU  - Baker, Nevin C
AU  - Bernardo, Nelson L
AU  - Campia, Umberto
AU  - Didier, Romain J
AU  - Escarcega, Ricardo O
AU  - Kang, Won Yu
AU  - Kiramijyan, Starkis
AU  - Koifman, Edward
AU  - Lipinski, Michael J
AU  - Magalhaes, Marco A
AU  - Negi, Smita I
AU  - Ota, Hideaki
AU  - Torguson, Rebecca
AU  - Waksman, Ron
TI  - Vascular access in critical limb ischemia. [Review]
SN  - 1878-0938
PY  - 2016///
KW  - *Catheterization, Peripheral/mt [Methods]
KW  - *Endovascular Procedures/mt [Methods]
KW  - *Femoral Artery
KW  - *Ischemia/th [Therapy]
KW  - *Peripheral Vascular Diseases/th [Therapy]
KW  - Catheterization, Peripheral/ae [Adverse Effects]
KW  - Critical Illness
KW  - Endovascular Procedures/ae [Adverse Effects]
KW  - Femoral Artery/dg [Diagnostic Imaging]
KW  - Humans
KW  - Ischemia/dg [Diagnostic Imaging]
KW  - Ischemia/pp [Physiopathology]
KW  - Limb Salvage
KW  - Peripheral Vascular Diseases/di [Diagnosis]
KW  - Peripheral Vascular Diseases/pp [Physiopathology]
KW  - Punctures
KW  - Radiography, Interventional
KW  - Risk Factors
KW  - Time Factors
KW  - Treatment Outcome
KW  - Vascular Patency
KW  - MedStar Heart & Vascular Institute
KW  - Journal Article
KW  - Review
N1  - Available in print through MWHC library: 2002 - present
N2  - Copyright © 2016 Elsevier Inc. All rights reserved; Currently, percutaneous endovascular intervention is considered a first line of therapy for treating patients with critical limb ischemia. As the result of remarkable development of techniques and technologies, percutaneous endovascular intervention has led to rates of limb salvage comparable to those achieved with bypass surgery, with fewer complications, even in the presence of lower rates of long-term patency. Currently, interventionalists have a multiplicity of access routes including smaller arteries, with both antegrade and retrograde approaches. Therefore, the choice of the optimal access site has become an integral part of the success of the percutaneous intervention. By understanding the technical aspects, as well as the advantages and limitations of each approach, the interventionalists can improve clinical outcomes in patients with severe peripheral arterial disease. This article reviews the access routes in critical limb ischemia, their advantages and disadvantages, and the clinical outcomes of each.
UR  - https://dx.doi.org/10.1016/j.carrev.2016.02.001
ER  -