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Medicina is published by MDPI from Volume 54 Issue 1 (2018). Articles in this Issue were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence. Articles are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Lithuanian Medical Association, Lithuanian University of Health Sciences, and Vilnius University.
Open AccessArticle

Subintimal angioplasty: an alternative to open surgery of the lower limb chronic artery occlusion

1
Department of Cardiac, Thoracic, and Vascular Surgery
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Institute for Biomedical Research 3 Department of Radiology, Kaunas University of Medicine, Lithuania
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Author to whom correspondence should be addressed.
Medicina 2009, 45(4), 327; https://doi.org/10.3390/medicina45040042
Received: 23 January 2009 / Accepted: 3 April 2009 / Published: 8 April 2009
Objective. Based on recent literature data, subintimal arterial angioplasty, its indications and contraindications, methods and techniques, treatment results, and perspectives are introduced in this article. During the last two decades, with increasing human lifespan, more and more frequently a combination of progressive chronic lower limb ischemia, which is caused by occlusive disease, and severe condition occurs. In such cases, patients cannot be operated on. In Europe and the United States of America, patients undergo subintimal angioplasty. It is a minimally invasive technique for the treatment of lower limb occlusive disease, when without tissue incision, under local anesthesia, blood flow through damaged artery is normalized. Thus, the occlusion is removed without surgery, patient’s quality of life is improved, and survival is increased.
Keywords: chronic arterial occlusion; definition of subintimal angioplasty, indications; contraindications; methodology; results; bypass operations chronic arterial occlusion; definition of subintimal angioplasty, indications; contraindications; methodology; results; bypass operations
MDPI and ACS Style

Aleksynas, N.; Kaupas, R.; Antuševas, A. Subintimal angioplasty: an alternative to open surgery of the lower limb chronic artery occlusion. Medicina 2009, 45, 327.

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