This paper uses data from the Vascular Quality Initiative (VQI) database to compare outcomes in patients undergoing a below the knee procedure to restore blood flow to the foot. There is considerable debate regarding the best initial approach - open bypass surgery or endovascular surgery. Many physicians treating this challenging patient population have switched to an endovascular first approach. This paper adds to the body of literature supporting this approach.
Globally we are seeing an aging population with an increasing prevalence of diabetes and metabolic syndrome.
Pedal loop revascularization procedures are the last resort for patients with no other options for saving their limb.
Increasing evidence supports an endovascular first approach to patients with critical limb ischemia.