A Novel Technique for Recanalizing Below-the-Ankle Lesion in Chronic Limb-Threatening Ischemia: Wire Exteriorization via the Wound
Issued Date
2026-06-01
Resource Type
ISSN
10510443
eISSN
15357732
Scopus ID
2-s2.0-105034307523
Pubmed ID
41796857
Journal Title
Journal of Vascular and Interventional Radiology
Volume
37
Issue
6
Rights Holder(s)
SCOPUS
Bibliographic Citation
Journal of Vascular and Interventional Radiology Vol.37 No.6 (2026)
Suggested Citation
Horsirimanont S., Pootracool P., Pornwaragorn C., Tepsamrithporn G., Kittitirapong N. A Novel Technique for Recanalizing Below-the-Ankle Lesion in Chronic Limb-Threatening Ischemia: Wire Exteriorization via the Wound. Journal of Vascular and Interventional Radiology Vol.37 No.6 (2026). doi:10.1016/j.jvir.2026.108687 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/115980
Title
A Novel Technique for Recanalizing Below-the-Ankle Lesion in Chronic Limb-Threatening Ischemia: Wire Exteriorization via the Wound
Author's Affiliation
Corresponding Author(s)
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Abstract
Chronic limb-threatening ischemia is a significant clinical challenge associated with high morbidity and mortality rates, increased health-care costs, and declines in patient quality of life. Endovascular interventions demonstrate promising clinical results and are increasingly utilized to treat severe infrapopliteal and below-the-ankle (BTA) arterial disease. Several techniques, including pedal access, transcollateral recanalization, and pedal-plantar loop procedures, have improved the success of BTA revascularization. A wire exteriorization via the wound (WE-wound) method is proposed for recanalizing the BTA lesion. The present study reports 9 cases in which the WE-wound technique was performed, achieving a 100% technical success rate and successful limb salvage.