1 / 16

CLI and kidney insufficiency “an unhappy marriage”

CLI and kidney insufficiency “an unhappy marriage”. Reza Ghotbi Gefäßchirurgische Klinik Klinikum München-Pasing der LMU-München. CLI & NI: Eine besondere Population?. Ivan P. Casserly , Advances in Chronic Kidney Disease Volume 15, Issue 4 2008 384 - 395.

etta
Download Presentation

CLI and kidney insufficiency “an unhappy marriage”

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. CLI and kidney insufficiency “an unhappy marriage” Reza Ghotbi Gefäßchirurgische Klinik Klinikum München-Pasing der LMU-München

  2. CLI & NI: Eine besondere Population? Ivan P. Casserly , Advances in Chronic Kidney Disease Volume 15, Issue 4 2008 384 - 395

  3. CLI & NI: Eine besondere Population? FaustoBiancari, Scandinavian Journal of Surgery 101:128-143, 2012

  4. CLI & NI: EinebesondereMorphologie? • Occlusionen in 20-40% • Oft alteVerschlüsse • Rekanalisation;Zeitaufwändig, • Significant höhereKontrast und • Strahlenbelastung • HöhereRestenoseRate

  5. Besonderheit der Revaskularisation; Angiosomen Der Kollateralkreislaufisterheblicheingeschränkt. EinintakterArcusplantarisist die Ausnahme.

  6. Besonderheit der Revaskularisation; Angiosomen Alexanderescou et al J of Endovasculartherapy 2011;18:376

  7. J-Beat II Register n=329 Lida O. Soga Y et al. J Vasc Surg. 2011

  8. Periphere Intervention: Equipment • 4 Low profile Katheter • 3 Drähte • 2 Support Katheter • 1 DEB • ca. 1800 Euro Materialkosten

  9. Periphere Intervention: Equipment Drähte - 0.018 V18 - 0.018 Road Runner - 0.014 Galleo - 0.014 V14 PTA Ballon: - passeo 14 - passeo 18 - savvy - DEB Amphirion Stents: - Astronpulsar 4F - Supera6F

  10. Verschlussrecanalisation LASER Outback, Pioneer Crosser

  11. Periphere Intervention: Verfahren PTA SubintimalAngioplastie Stentangioplastie Cuttingballoon Drug eluting Stent Drug elutedBalloon Bioresorbierbarer Stent Laser Cryoplstie Brachytherapie Atherectomie Endograft

  12. CruraleIntervention im Stadium IV 1/11-6/11

  13. CruraleIntervention im Stadium IV 1/11-6/11 40% 21%

  14. CruraleIntervention im Stadium IV 1/11-6/11

  15. CruraleIntervention im Stadium IV 1/11-6/11, Komplikationen

  16. Zusammenfassung • CruraleAngioplastie ist eine effektive Option zum Beinerhalt • Limitiertes Langzeit-Überleben • Alleinige PTA in den meisten Fällen ausreichend • Hohe Restenoserate klinisch nur selten bedeutend • Die Low-profile Technologie reduziert signifikant die lokalen Komplikationen • Die Passage der komplexen Läsionen bleibt eine Herausforderung

More Related