Management of Complications during Below-the-Knee Endovascular Treatment: A Technical Note
- Author:
JeeYoung MIN
1
;
Sang Woo PARK
;
Jin Ho HWANG
;
Yong Wonn KWON
;
Dong Hyeok SHIN
Author Information
- Publication Type:Review Article
- From:Korean Journal of Radiology 2020;21(8):935-945
- CountryRepublic of Korea
- Abstract: We retrospectively reviewed the cases in which complications occurred during below-the-knee (BTK) endovascular treatmentsthat were performed at our hospital from 2005 to 2014. Several interesting cases have been described herein. All the patientshad diabetes and non-healing wounds on their feet and/or rest pain in their foot or leg, and therefore, endovascular treatmentwas performed for the BTK arteries of the affected lower extremity. The complications that occurred during the procedure wereclassified 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 classesof complications and describe how cases of each type were managed.
