Percutaneous Revascularization of the Tibial Arteries

Tibial disease, specifically involving the lower extremities, presents a significant challenge in the field of vascular medicine. Patients suffering from tibial artery occlusions or stenosis often experience debilitating symptoms and reduced quality of life. This chapter aims to provide an overview of interventions available for tibial disease, focusing on the endovascular approaches used to restore blood flow and improve limb perfusion. It highlights key treatment modalities such as balloon angioplasty, stenting, atherectomy, and drug-eluting technologies specifically designed for tibial vessels. The chapter emphasizes the importance of proper patient selection, careful pre-procedural planning, and the use of advanced imaging techniques to guide interventions. Furthermore, it explores the challenges and potential complications associated with tibial interventions, including re-occlusion, restenosis, and limb-threatening ischemia. By understanding the available interventions for tibial disease and considering individual patient factors, healthcare professionals can make informed decisions, provide optimal care, and enhance the outcomes for patients suffering from this challenging condition.