New alternative access endovascular intervention for treatment of lower extremity artery lessions

Repeated endovascular interventions and surgical bypass operations for diseases of the lower limb arteries, with progression of the underlying disease, increased stage of chronic ischemia of the lower extremities, and ultimately the development of critical ischemia of the lower extremities, lead to a situation where there are no patent vessels, either native or shunts, through which revascularization procedures can be effectively performed. The way out of this clinical impasse is to develop and actively use new approaches for performing endovascular interventions. Our study presents the currently available "new" approaches and evaluates their safety and effectiveness.