ABSTRACT
Drug-coated balloons, accompanied by focal dissection repair, appear to offer improved patency for femoral–popliteal lesions; as lesion length and complexity increase, the less likely is plain angioplasty the best solution for the patient’s problem. In complex lesions, especially if short occlusions are present, sometimes the operator does not know if the guidewire is subintimal or transluminal. Experience in keeping the tip of the wire stable and also in passing these low-profile devices can be obtained by focusing on this attentively during revascularization procedures. Most tibial angioplasty is performed for limb salvage, for the indication of critical limb ischemia. Subintimal angioplasty is a generalized description of use of the subintimal plane in order to pass the guidewire beyond the lesion. Embolization occurs in association with all types of endovascular procedures. Bilateral iliac artery occlusions may also be treated using a bilateral endovascular approach.
