Efficacy of Transpedal Retrograde Approach in Endovascular Treatment of Patients With Buerger's Disease

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dc.contributor.authorTatli, Ersan
dc.contributor.authorButurak, Ali
dc.contributor.authorVatan, Mehmet Bulent
dc.contributor.authorOmurlu, Imran Kurt
dc.contributor.authorErkin, Alper
dc.date.accessioned2024-05-19T14:39:40Z
dc.date.available2024-05-19T14:39:40Z
dc.date.issued2023
dc.departmentİstinye Üniversitesien_US
dc.description.abstractBackground. Endovascular treatment of Buerger's disease is challenging, which usually impedes antegrade revascularization options. We aimed to evaluate the effectiveness of transpedal retrograde approach in patients with Buerger's disease with ambiguous proximal caps and/or previously failed endovascular intervention via antegrade approach. Methods. Eighteen patients with the diagnosis of Buerger's disease who had previously failed antegrade endovascular interventions and/or ambiguous proximal caps were enrolled. Baseline demographic characteristics, severity of critical limb-threatening ischemia, wound scores, postprocedural pedal loop scores, and recovery or amputation rates were recorded. Results. The patients presented with ischemic rest pain (n = 5, Rutherford stage 4), ischemic ulcers with minor tissue loss (n = 8, Rutherford stage 5), and severe ischemic ulcers or gangrene with major tissue loss (n = 5, Rutherford stage 6). Preprocedural wound score according to Saint Elian Wound Score System (SEWSS) was 15.72 +/- 5.05. Retrograde transpedal puncture was achieved with an 89% success rate. Postintervention angiographic success rate was 100%. Postintervention Rutherford stage improved compared with preprocedural Rutherford stages (P<.01). In addition, the average SEWSS score decreased significantly after the interventions (P<.001). Postprocedural pedal loop score was found to be associated with SEWSS scores and amputation rates. Conclusions. Transpedal retrograde approach is a technically feasible and potentially effective treatment modality for Buerger's disease and may be considered as a first-line treatment option in the treatment of limb salvage, especially when proximal caps of target vessels are ambiguous or antegrade approach is unsuccessful.en_US
dc.description.sponsorshipRoehl Family Foundation; Minneapolis Heart Institute Foundation's Science Center for Coronary Artery Disease (CCAD); Joseph Durda Foundationen_US
dc.description.sponsorshipThe authors are grateful for the philanthropic support of our generous anonymous donors, and the philanthropic support of Drs Mary Ann and Donald A. Sens, Mrs Diane and Dr Cline Hickok, Mrs Wilma and Mr Dale Johnson, Mrs Charlotte and Mr Jerry Golinvaux Family Fund, the Roehl Family Foundation, and the Joseph Durda Foundation. The generous gifts of these donors to the Minneapolis Heart Institute Foundation's Science Center for Coronary Artery Disease (CCAD) helped support this research project.en_US
dc.identifier.issn1042-3931
dc.identifier.issn1557-2501
dc.identifier.issue2en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12713/4827
dc.identifier.volume35en_US
dc.identifier.wosWOS:001137756700001en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.language.isoenen_US
dc.publisherH M P Communicationsen_US
dc.relation.ispartofJournal of Invasive Cardiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmz20240519_kaen_US
dc.subjectBuerger's Diseaseen_US
dc.subjectCritical Limb Threatening Ischemiaen_US
dc.subjectTranspedal Retrograde Approachen_US
dc.titleEfficacy of Transpedal Retrograde Approach in Endovascular Treatment of Patients With Buerger's Diseaseen_US
dc.typeArticleen_US

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