Management of Complications during Below-the-Knee Endovascular Treatment: A Technical Note

Korean Journal of Radiology : Official Journal of the Korean Radiological Society
JeeYoung MinDong Hyeok Shin

Abstract

We retrospectively reviewed the cases in which complications occurred during below-the-knee (BTK) endovascular treatments that were performed at our hospital from 2005 to 2014. Several interesting cases have been described herein. All the patients had diabetes and non-healing wounds on their feet and/or rest pain in their foot or leg, and therefore, endovascular treatment was performed for the BTK arteries of the affected lower extremity. The complications that occurred during the procedure were classified into six categories-vascular spasm, flow limiting dissection, perforation, broken guidewire, distal thromboembolism, and unusual puncture site bleeding. Each complication has its own solutions and management. We discuss these different classes of complications and describe how cases of each type were managed.

References

May 14, 2010·European Journal of Radiology·Jörn O BalzerThomas Lehnert
Oct 25, 2011·Journal of Vascular and Interventional Radiology : JVIR·Frederic BaumannNicolas Diehm
Feb 7, 2012·Journal of Vascular and Interventional Radiology : JVIR·Henk OdinkBjorn Winkens
Jan 29, 2013·Cardiovascular and Interventional Radiology·H van OverhagenD Tsetis
Aug 19, 2014·Journal of Vascular and Interventional Radiology : JVIR·Mahmood K RazaviLarry E Miller
Apr 20, 2017·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Gagan D SinghEhrin J Armstrong
Mar 27, 2018·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Rutger H A WellingAndrej Schmidt

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