{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T06:36:23Z","timestamp":1787639783002,"version":"build-2736575974"},"reference-count":20,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2024,11,29]],"date-time":"2024-11-29T00:00:00Z","timestamp":1732838400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Vascular"],"published-print":{"date-parts":[[2025,12]]},"abstract":"\n Background<\/jats:title>\n Chronic total occlusions with ambiguous proximal caps present a significant challenge in endovascular interventions of patients with Buerger\u2019s disease.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n We aimed to evaluate the effectiveness of transpedal retrograde wire just marker technique in patients with Buerger\u2019s disease presenting proximal cap ambiguity and flush occlusions.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Seventeen patients with the diagnosis of Buerger\u2019s disease who had below the knee artery chronic total occlusions with ambiguous proximal caps were enrolled. Procedural success, post-intervention Rutherford stage, wound scores, pedal loop scores, and amputation rates were recorded.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Final study group consisted of 13 patients after exclusion of 4 patients due to pedal loop formation failure and severe vasospasm preventing equipment advancement. Post-intervention angiographic success rate was 100%. The post-intervention Rutherford stage showed excellent improvement (mean preprocedural Rutherford stage = 5 vs mean post-intervention Rutherford stage = 2;\n p<\/jats:italic>\n = 0.003). Additionally, the average Saint Elian Wound Score System (SEWSS) decreased significantly (Preprocedural 14.9 \u00b1 4.0 vs Postprocedural 11.3 \u00b1 4.7,\n p<\/jats:italic>\n < 0.001) after the interventions. Two patients had a major amputation during the follow-up indicating that higher post-intervention pedal loop scores are associated with higher amputation rates.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Transpedal retrograde wire just marker technique is an effective and practical method for revascularization of below the knee artery occlusions with ambiguous proximal caps. Including pedal loop angioplasty as a routine part of this technique can significantly increase blood supply to the pedal arch., thereby enhancing the likelihood of wound healing.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/17085381241305190","type":"journal-article","created":{"date-parts":[[2024,11,29]],"date-time":"2024-11-29T16:44:01Z","timestamp":1732898641000},"page":"1331-1338","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Impact of transpedal retrograde wire just marker technique on revascularization of below the knee artery occlusions with ambiguous proximal caps in patients with Buerger\u2019s disease"],"prefix":"10.1177","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8827-1280","authenticated-orcid":false,"given":"Perihan","family":"Var\u0131m","sequence":"first","affiliation":[{"name":"Focus Heart and Arrhythmia Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5528-3085","authenticated-orcid":false,"given":"Ali","family":"Buturak","sequence":"additional","affiliation":[{"name":"Yeditepe University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmet C","family":"\u00c7akmak","sequence":"additional","affiliation":[{"name":"Sakarya University"},{"name":"Medicine Faculty"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ersan","family":"Tatli","sequence":"additional","affiliation":[{"name":"Focus Heart and Arrhythmia Center"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,11,29]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.110.942383"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200009213431207"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2011.08.014"},{"issue":"2","key":"e_1_3_3_5_2","first-page":"E84","article-title":"Efficacy of transpedal retrograde approach in endovascular treatment of patients with Buerger's disease","volume":"36","author":"Tatli E","year":"2023","unstructured":"Tatli E, Buturak A, Vatan MB, et al. Efficacy of transpedal retrograde approach in endovascular treatment of patients with Buerger's disease. J Invasive Cardiol 2023; 36(2): E84\u2013E91.","journal-title":"J Invasive Cardiol"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2021.01.059"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/17085381241247101"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/1534734610371594"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2015.04.026"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.4244\/EIJ-D-17-00867"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.20307"},{"issue":"7","key":"e_1_3_3_12_2","first-page":"334","article-title":"New concept for CTO recanalization using controlled antegrade and retrograde subintimal tracking: the CART technique","volume":"18","author":"Surmely JF","year":"2006","unstructured":"Surmely JF, Tsuchikane E, Katoh O, et al. New concept for CTO recanalization using controlled antegrade and retrograde subintimal tracking: the CART technique. J Invasive Cardiol 2006; 18(7): 334\u2013338.","journal-title":"J Invasive Cardiol"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.24370"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1024\/0301-1526\/a000624"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/0003319706291169"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1177\/1526602817710917"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2017.09.020"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1177\/1538574417744085"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0039-1685200"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/s0741-5214(99)70077-7"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2012.10.129"}],"container-title":["Vascular"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17085381241305190","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/17085381241305190","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17085381241305190","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T07:40:45Z","timestamp":1777707645000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/17085381241305190"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,29]]},"references-count":20,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2025,12]]}},"alternative-id":["10.1177\/17085381241305190"],"URL":"https:\/\/doi.org\/10.1177\/17085381241305190","relation":{},"ISSN":["1708-5381","1708-539X"],"issn-type":[{"value":"1708-5381","type":"print"},{"value":"1708-539X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,11,29]]}}}