Review
Medicine, General & Internal
Stavros Spiliopoulos, Efstathia Davoutis, Nikolaos-Achilleas Arkoudis, Kaji Sritharan, Symeon Lechareas
Summary: Endovascular approach is the preferred treatment for lower limb chronic limb-threatening ischemia (CLTI). However, it has minimal success in patients with advanced infrapopliteal disease and absence of tibial run-off vessels. To avoid amputation, alternative treatment options like gene therapy and deep venous arterialization are being investigated. This review focuses on the percutaneous deep venous arterialization technique for limb salvage in CLTI patients with a 'desert foot'.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Medicine, General & Internal
Nunzio Montelione, Vincenzo Catanese, Teresa Gabellini, Francesco Alberto Codispoti, Antonio Nenna, Francesco Spinelli, Francesco Stilo
Summary: This study reported the early and mid-term outcomes of arterialization of the deep venous system in patients with no-option CLTI. The study used duplex ultrasound and angiographic evaluation to improve limb perfusion. The results showed that this method is feasible and effective in limb salvage.
Article
Surgery
Jorge A. Miranda, Zachary Pallister, Sherene Sharath, Lucas Ferrer, Jayer Chung, Brian Lepow, Joseph L. Mills, Miguel Montero-Baker
Summary: This study reviewed the outcomes of venous arterialization (VA) in chronic limb-threatening ischemia (CLTI). The findings suggest that superficial and deep VA are feasible options for limb salvage in patients who cannot undergo conventional revascularization methods.
JOURNAL OF VASCULAR SURGERY
(2022)
Review
Surgery
Alessandro Ucci, Paolo Perini, Antonio Freyrie, Michiel A. Schreve, Cagdas Unlu, Eline Huizing, Daniel A. van den Heuvel, Steven Kum, Mehdi H. Shishehbor, Roberto Ferraresi
Summary: This systematic review and meta-analysis examined the outcomes of surgical and percutaneous foot vein arterialization (FVA) in patients with chronic limb-threatening ischemia (CLTI). The results showed that percutaneous FVA is a feasible option with favorable limb salvage and wound healing rates in high-risk CLTI patients.
JOURNAL OF ENDOVASCULAR THERAPY
(2023)
Article
Cardiac & Cardiovascular Systems
Tatsuya Nakama, Shigeo Ichihashi, Kenji Ogata, Shunsuke Kojima, Makio Muraishi, Kotaro Obunai, Hiroyuki Watanabe
Summary: This study evaluated the clinical outcomes of percutaneous deep venous arterialization in Japanese patients with no-option chronic limb-threatening ischemia. Acceptable, safe, and efficacious results were reported.
CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY
(2022)
Article
Surgery
Tammam Harfouch, Andrei Tarus, Elena-Teodora Agafitei, Raluca Ozana Chistol, Grigore Tinica
Summary: When revascularization options are not available in critical limb ischemia, utilizing distal venous arterialization for limb salvage seems to be a viable alternative, with potential benefits in patients with concomitant varicose veins.
VASCULAR AND ENDOVASCULAR SURGERY
(2021)
Review
Medicine, Research & Experimental
Alessandra Magenta, Maria Cristina Florio, Massimo Ruggeri, Sergio Furgiuele
Summary: Cell therapy is becoming an attractive alternative for patients with critical limb ischemia who are not suitable for surgery, with benefits including therapeutic angiogenesis and neovascularization to increase blood flow and promote tissue regeneration. The study highlights the negative effects of diabetes on different sources of autologous cells used in cell therapy, as well as delays in wound healing capacity. Additionally, relevant clinical trials and challenges arising from cell therapy trials are discussed, along with the introduction of cell therapy as an adjuvant therapy for promoting wound healing in revascularized diabetic patients.
INTERNATIONAL JOURNAL OF MOLECULAR MEDICINE
(2021)
Article
Peripheral Vascular Disease
Jeremy B. Provance, John A. Spertus, Philip G. Jones, Mark A. Hoffman, Matthew C. Bunte, Todd R. Vogel, Carlos Mena-Hurtado, Kim G. Smolderen
Summary: This study used an EHR database to investigate the 30-day major amputation rates following PVI in patients with CLI. The results showed that amputation rates varied across institutions, and patient-level factors and site characteristics accounted for most of the variation in these rates.
Article
Medicine, General & Internal
Alessia Scatena, Pasquale Petruzzi, Filippo Maioli, Francesca Lucaroni, Cristina Ambrosone, Giorgio Ventoruzzo, Francesco Liistro, Danilo Tacconi, Marianna Di Filippi, Nico Attempati, Leonardo Palombi, Leonardo Ercolini, Leonardo Bolognese
Summary: The study showed that treatment with autologous PBMNC implants in NO-CLI patients with DFUs significantly reduced amputation rate, improved survival, and promoted wound healing. Autologous PBMNC injection may effectively prevent amputations in patients with DFUs.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Surgery
Norihiro Kobayashi, Masahiro Yamawaki, Shinsuke Mori, Masakazu Tsutsumi, Yohsuke Honda, Kenji Makino, Shigemitsu Shirai, Masafumi Mizusawa, Takahide Nakano, Yoshiaki Ito
Summary: The study investigated the predictors of major amputation (MA) in CLTI patients at WIfI clinical stage 4 after EVT and developed a scoring model to stratify patients into low, intermediate, and high-risk groups. Results showed that hemodialysis, fI3, toe wounds, and visible blood flow to the wound were associated with MA, and the scoring model effectively stratified clinical outcomes among patients.
JOURNAL OF ENDOVASCULAR THERAPY
(2022)
Article
Cardiac & Cardiovascular Systems
Ayman Elbadawi, Islam Y. Elgendy, Devesh Rai, Dhruv Mahtta, Michael Megaly, Ashish Pershad, Ali Denktas, Emmanouil S. Brilakis, Douglas E. Drachman, Subhash Banerjee, Mehdi H. Shishehbor, Hani Jneid
Summary: This study evaluated the relationship between hospital eLER volume and outcomes after eLER for CLI. Results showed that annual eLER volume did not influence in-hospital mortality, but high eLER volume (>550 procedures) was associated with better rates of limb preservation after eLER for CLI.
JACC-CARDIOVASCULAR INTERVENTIONS
(2021)
Article
Surgery
Tomoya Fukagawa, Shinsuke Mori, Masahiro Yamawaki, Norihiro Kobayashi, Masakazu Tsutsumi, Yohsuke Honda, Kenji Makino, Yoshiaki Ito
Summary: This study aimed to determine the predictors of wound recurrence in patients with chronic limb-threatening ischemia undergoing endovascular treatment. The results showed that pre-pedal arch type 2 and Wound, Ischemia, and foot Infection classification system stage 4 were associated with wound recurrence.
JOURNAL OF ENDOVASCULAR THERAPY
(2023)
Review
Surgery
Eline Huizing, Michiel A. Schreve, Steven Kum, Gert J. de Borst, Jean-Paul P. M. de Vries, Cagdas Unlu
Summary: Deep venous arterialization (DVA) is a promising technique that can be performed surgically or percutaneously. However, current research mainly focuses on the procedure itself, neglecting the importance of postprocedural care. This study provides an overview of the available literature and recommendations for postprocedural care of DVA patients.
JOURNAL OF ENDOVASCULAR THERAPY
(2023)
Article
Nutrition & Dietetics
Kaori Mine, Makoto Sugihara, Takafumi Fujita, Yuta Kato, Koki Gondo, Tadaaki Arimura, Yosuke Takamiya, Yuhei Shiga, Takashi Kuwano, Shin-ichiro Miura
Summary: The study suggests that a higher controlling nutritional status (CONUT) score in patients with chronic limb-threatening ischemia (CLTI) may lead to higher rates of dialysis, increased clinical frailty, lower amputation-free survival rates, and delayed wound healing. Therefore, evaluating the nutritional status could be helpful in predicting and improving patient outcomes.
Review
Cell & Tissue Engineering
Zeinab Shirbaghaee, Mohammad Hassani, Saeed Heidari Keshel, Masoud Soleimani
Summary: This article reviews the immunomodulatory features of mesenchymal stem cells (MSCs) and their potential applications as therapeutic agents in the treatment of critical limb ischemia (CLI). Despite advances in clinical research, MSC therapy is still considered experimental and not recommended for regular clinical use. The article provides recommendations to improve the efficacy of cell therapy for CLI patients.
STEM CELL RESEARCH & THERAPY
(2022)
Article
Cardiac & Cardiovascular Systems
Steven Kum, Eline Huizing, Michiel A. Schreve, Cagdas Unlu, Roberto Ferraresi, Lasitha B. Samarakoon, Daniel A. van den Heuvel
JOURNAL OF CARDIOVASCULAR SURGERY
(2018)
Article
Cardiac & Cardiovascular Systems
Roberto Ferraresi, Giovanni Mauri, Fabrizio Losurdo, Nicola Troisi, Diego Brancaccio, Carlo Caravaggi, Luca Neri
JOURNAL OF CARDIOVASCULAR SURGERY
(2018)
Article
Surgery
Roberto Ferraresi, Andrea Casini, Fabrizio Losurdo, Maurizio Caminiti, Alessandro Ucci, Matteo Longhi, Michiel Schreve, Michael Lichtenberg, Steven Kum, Giacomo Clerici
JOURNAL OF ENDOVASCULAR THERAPY
(2019)
Article
Surgery
Michael S. Conte, Andrew W. Bradbury, Philippe Kolh, John White, Florian Dick, Robert Fitridge, Joseph L. Mills, Jean-Baptiste Ricco, Kalkunte R. Suresh, M. Hassan Murad, Victor Aboyans, Murat Aksoy, Vlad-Adrian Alexandrescu, David Armstrong, Nobuyoshi Azuma, Jill Belch, Michel Bergoeing, Martin Bjorck, Nabil Chakfe, Stephen Cheng, Joseph Dawson, Eike S. Debus, Andrew Dueck, Susan Duval, Hans H. Eckstein, Roberto Ferraresi, Raghvinder Gambhir, Mauro Garguilo, Patrick Geraghty, Steve Goode, Bruce Gray, Wei Guo, Prem C. Gupta, Robert Hinchliffe, Prasad Jetty, Kimihiro Komori, Lawrence Lavery, Wei Liang, Robert Lookstein, Matthew Menard, Sanjay Misra, Tetsuro Miyata, Greg Moneta, Jose A. Munoa Prado, Alberto Munoz, Juan E. Paolini, Manesh Patel, Frank Pomposelli, Richard Powell, Peter Robless, Lee Rogers, Andres Schanzer, Peter Schneider, Spence Taylor, Melina De Ceniga, Martin Veller, Frank Vermassen, Jinsong Wang, Shenming Wang
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
(2019)
Review
Radiology, Nuclear Medicine & Medical Imaging
Eline Huizing, Michiel A. Schreve, Jean-Paul P. M. de Vries, Roberto Ferraresi, Steven Kum, Cagdas Unlu
JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY
(2019)
Correction
Surgery
Michael S. Conte, Andrew W. Bradbury, Philippe Kolh, John V. White, Florian Dick, Robert Fitridge, Joseph L. Mills, Jean-Baptiste Ricco, Kalkunte R. Suresh, M. Hassan Murad, Victor Aboyans, Murat Aksoy, Vlad-Adrian Alexandrescu, David Armstrong, Nobuyoshi Azuma, Jill Belch, Michel Bergoeing, Martin Bjorck, Nabil Chakfe, Stephen Cheng, Joseph Dawson, Eike S. Debus, Andrew Dueck, Susan Duval, Hans H. Eckstein, Roberto Ferraresi, Raghvinder Gambhir, Mauro Garguilo, Patrick Geraghty, Steve Goode, Bruce Gray, Wei Guo, Prem C. Gupta, Robert Hinchliffe, Prasad Jetty, Kimihiro Komori, Lawrence Lavery, Wei Liang, Robert Lookstein, Matthew Menard, Sanjay Misra, Tetsuro Miyata, Greg Moneta, Jose A. Munoa Prado, Alberto Munoz, Juan E. Paolini, Manesh Patel, Frank Pomposelli, Richard Powell, Peter Robless, Lee Rogers, Andres Schanzer, Peter Schneider, Spence Taylor, M. Vega de Ceniga, Martin Veller, Frank Vermassen, Jinsong Wang, Shenming Wang
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
(2020)
Article
Surgery
Andrej Schmidt, Michiel A. Schreve, Eline Huizing, Costantino Del Giudice, Daniela Branzan, Cagdas Unlu, Ramon L. Varcoe, Roberto Ferraresi, Steven Kum
JOURNAL OF ENDOVASCULAR THERAPY
(2020)
Article
Cardiac & Cardiovascular Systems
Bart Doyen, Blandine Maurel, Adrien Hertault, Peter Vlerick, Tara Mastracci, Isabelle Van Herzeele
CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY
(2020)
Correction
Surgery
Michael S. Conte, Andrew W. Bradbury, Philippe Kolh, John V. White, Florian Dick, Robert Fitridge, Joseph L. Mills, Jean-Baptiste Ricco, Kalkunte R. Suresh, M. Hassan Murad, Victor Aboyans, Murat Aksoy, Vlad-Adrian Alexandrescu, David Armstrong, Nobuyoshi Azuma, Jill Belch, Michel Bergoeing, Martin Bjorck, Nabil Chakfe, Stephen Cheng, Joseph Dawson, Eike S. Debus, Andrew Dueck, Susan Duval, Hans H. Eckstein, Roberto Ferraresi, Raghvinder Gambhir, Mauro Gargiulo, Patrick Geraghty, Steve Goode, Bruce Gray, Wei Guo, Prem C. Gupta, Robert Hinchliffe, Prasad Jetty, Kimihiro Komori, Lawrence Lavery, Wei Liang, Robert Lookstein, Matthew Menard, Sanjay Misra, Tetsuro Miyata, Greg Moneta, Jose A. Munoa Prado, Alberto Munoz, Juan E. Paolini, Manesh Patel, Frank Pomposelli, Richard Powell, Peter Robless, Lee Rogers, Andres Schanzer, Peter Schneider, Spence Taylor, Melina V. De Ceniga, Martin Veller, Frank Vermassen, Jinsong Wang, Shenming Wang
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
(2020)
Letter
Surgery
Andrej Schmidt, Michiel A. Schreve, Eline Huizing, Costantino Del Giudice, Daniela Branzan, Cagdas Unlu, Ramon L. Varcoe, Roberto Ferraresi, Steven Kum
JOURNAL OF ENDOVASCULAR THERAPY
(2020)
Review
Dermatology
Roberto Ferraresi, Giacomo Clerici, Andrea Casini, Alessandro Ucci, Maurizio Santi Caminiti, Daniela Minnella, Robert G. Frykberg
INTERNATIONAL JOURNAL OF LOWER EXTREMITY WOUNDS
(2020)
Review
Surgery
Ghassan Awad El-Karim, Sean A. Kennedy, Roberto Ferraresi, Jamil A. K. Addas, George D. Oreopoulos, Arash Jaberi, Kong Teng Tan, Sebastian Mafeld
Summary: PTA for critical hand ischemia (CHI) due to below-the-elbow (BTE) obstructive arterial disease shows high technical success rate, low short-term complication rate, and a minor amputation rate in the majority of cases. Long-term comparative studies are needed to further evaluate the clinical benefit of endovascular treatment in comparison to conservative management or surgical bypass.
JOURNAL OF ENDOVASCULAR THERAPY
(2022)
Article
Dermatology
Alberto Piaggesi, Roberto Ferraresi, Mauro Gargiulo
Summary: Despite its increasing prevalence, severity, and mortality, Diabetic foot syndrome (DFS) is still an unaddressed critical issue. The management of DFS varies across centers, and patient access to optimal care affects clinical outcomes. To improve therapy quality and accessibility, we have written this article to discuss critical aspects of DFS management in Italy.
INTERNATIONAL JOURNAL OF LOWER EXTREMITY WOUNDS
(2023)
Review
Surgery
Alessandro Ucci, Paolo Perini, Antonio Freyrie, Michiel A. Schreve, Cagdas Unlu, Eline Huizing, Daniel A. van den Heuvel, Steven Kum, Mehdi H. Shishehbor, Roberto Ferraresi
Summary: This systematic review and meta-analysis examined the outcomes of surgical and percutaneous foot vein arterialization (FVA) in patients with chronic limb-threatening ischemia (CLTI). The results showed that percutaneous FVA is a feasible option with favorable limb salvage and wound healing rates in high-risk CLTI patients.
JOURNAL OF ENDOVASCULAR THERAPY
(2023)
Article
Cardiac & Cardiovascular Systems
Enrico M. Marone, Paolo Cozzolino, Roberta Ciampichini, Virginio Chiodini, Roberto Ferraresi, Luigi F. Rinaldi, Lorenzo G. Mantovani, Giancarlo Cesana
JOURNAL OF CARDIOVASCULAR SURGERY
(2018)