The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)

Tools & Techniques

Tools & Techniques: Below the knee interventions

EuroIntervention 2012;7:1120-1123. DOI: 10.4244/EIJV7I9A178

Pasteur Clinique, Toulouse France

Before starting below the knee (BTK) interventions, one should consider the treatment of patients with critical limb ischaemia (CLI). The goal for this procedure is limb salvage. The prognosis of CLI is very poor. Six to 12 months after diagnosis, only 50% of patients with CLI will preserve both their limbs.


CLI presentation is chronic ischaemic rest pain, ulcer or gangrene. CLI, the most important clinical indication for a BTK intervention, is caused by multilevel arterial disease in the majority of cases, and therefore BTK lesions are very often part of lower limb arterial involvement. Clinical goals ...

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