Twelve-Month Outcomes of Intravascular Lithotripsy for Treatment of Calcified Popliteal and Infrapopliteal Lesions in Patients With Chronic Limb-Threatening Ischemia.
Michael J NugterenConstantijn E V B HazenbergGeorge P AkkersdijkDaniel A F van den HeuvelMichiel A SchreveÇağdaş ÜnlüPublished in: Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists (2023)
Vessel calcification is a common feature in peripheral arterial disease (PAD) and is one of the main challenges in endovascular treatment. The popliteal artery is subjected to biomechanical stress during knee motion, which makes stenting unappealing and often leads to worse clinical outcomes. This study aimed to describe the first follow-up outcomes of IVL in popliteal and infrapopliteal arterial disease. As in line with previous studies, no relevant procedural complications were found and the rate of bail-out stenting was only 12.5%. Moreover, in a complex patient population, this study demonstrated promising safety and efficacy outcomes. The comparison of IVL with angioplasty alone or other vessel preparation devices for popliteal and infrapopliteal arterial disease is warranted.
Keyphrases
- endovascular treatment
- type diabetes
- machine learning
- chronic kidney disease
- antiplatelet therapy
- acute coronary syndrome
- skeletal muscle
- deep learning
- risk factors
- coronary artery disease
- case report
- high speed
- insulin resistance
- molecularly imprinted
- case control
- tandem mass spectrometry
- anterior cruciate ligament reconstruction
- solid phase extraction