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Cannavale A, Santoni M, Gazzetti M, Catalano C, Fanelli F. Current Status of Distal Embolization in Femoropopliteal Endovascular Interventions. Vasc Endovascular Surg 2018; 52:440-447. [DOI: 10.1177/1538574418764050] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
The application of advanced endovascular techniques in very complex femoropopliteal atherosclerotic lesions has shown to expose patients to a higher risk of distal embolization (DE). This complication can affect both the short- and long-term outcomes, leading to worsening ischemia, early minor/major amputation, and longer hospital stay. Recently, there has been an increasing body of evidence on pathophysiology and clinical–radiological management of DE that however has not been systematically addressed by guidelines. The aim of this review was to analyze the current evidence outlining definition and classification, risk assessment, prevention, and management strategies of DE in femoropopliteal endovascular interventions.
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Affiliation(s)
- Alessandro Cannavale
- Department of Radiology, Interventional Radiology Unit, NHS Greater Glasgow and Clyde, Glasgow, United Kingdom
| | - Mariangela Santoni
- Department of Radiological Sciences, “Sapienza” University of Rome, Rome, Italy
| | - Marianna Gazzetti
- Vascular Surgery Services, Villa Stuart Medical Hospital, Rome, Italy
| | - Carlo Catalano
- Department of Radiological Sciences, “Sapienza” University of Rome, Rome, Italy
| | - Fabrizio Fanelli
- Department of Interventional Radiology, Azienda Ospedaliera Universitaria “Careggi”, Florence, Italy
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Mendes BC, Oderich GS. Re: Distal macro- and microembolization during subintimal recanalization of femoropopliteal chronic total occlusions. J Endovasc Ther 2015; 22:146-7. [PMID: 25775696 DOI: 10.1177/1526602814565781] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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