Endovascular treatment for chronic total occlusion of superficial femoral artery: Is retrograde approach from popliteal artery effective and safe?

A 55-year-old male was admitted with numbness in the left foot and intermittent claudication. Doppler ultrasound and digital subtraction angiography presented chronic total occlusion in the ostial of left superficial femoral artery and reperfusion flow at one-third below from collateral channels of...

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Main Authors: Nguyen Viet Lam, MD, Phan Anh Khoa, MD, Nguyen Ngoc Son, MD, Tran Duc Anh, MD, Ho Anh Binh, MD, PhD
Format: Article
Language:English
Published: Elsevier 2020-11-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043320304222
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author Nguyen Viet Lam, MD
Phan Anh Khoa, MD
Nguyen Ngoc Son, MD
Tran Duc Anh, MD
Ho Anh Binh, MD, PhD
author_facet Nguyen Viet Lam, MD
Phan Anh Khoa, MD
Nguyen Ngoc Son, MD
Tran Duc Anh, MD
Ho Anh Binh, MD, PhD
author_sort Nguyen Viet Lam, MD
collection DOAJ
description A 55-year-old male was admitted with numbness in the left foot and intermittent claudication. Doppler ultrasound and digital subtraction angiography presented chronic total occlusion in the ostial of left superficial femoral artery and reperfusion flow at one-third below from collateral channels of deep femoral artery. Thus, we decided to perform an endovascular intervention for this patient. First, we used contralateral transfemoral approach technique, but the microwire could not reach to the occluded superficial femoral artery lesion. Then, we approached the chronic total occlusion lesion retrogradely. A wire was passed successfully from the popliteal artery to ostial superficial femoral artery. Finally, 2 stents were implanted. This case highlights that popliteal retrograde approach is effective and safe for total occlusion of superficial femoral artery.
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spelling doaj.art-808fe443cdc74f14acdfe1cb3983995f2022-12-22T00:01:07ZengElsevierRadiology Case Reports1930-04332020-11-01151121162119Endovascular treatment for chronic total occlusion of superficial femoral artery: Is retrograde approach from popliteal artery effective and safe?Nguyen Viet Lam, MD0Phan Anh Khoa, MD1Nguyen Ngoc Son, MD2Tran Duc Anh, MD3Ho Anh Binh, MD, PhD4Department of Emergency and Cardiology Interventional, Hue Central Hospital, 16 Le Loi street, Hue city, VietnamDepartment of Emergency and Cardiology Interventional, Hue Central Hospital, 16 Le Loi street, Hue city, VietnamDepartment of Emergency and Cardiology Interventional, Hue Central Hospital, 16 Le Loi street, Hue city, VietnamStroke Center, Hue Central Hospital, Hue city, VietnamDepartment of Emergency and Cardiology Interventional, Hue Central Hospital, 16 Le Loi street, Hue city, Vietnam; Corresponding author.A 55-year-old male was admitted with numbness in the left foot and intermittent claudication. Doppler ultrasound and digital subtraction angiography presented chronic total occlusion in the ostial of left superficial femoral artery and reperfusion flow at one-third below from collateral channels of deep femoral artery. Thus, we decided to perform an endovascular intervention for this patient. First, we used contralateral transfemoral approach technique, but the microwire could not reach to the occluded superficial femoral artery lesion. Then, we approached the chronic total occlusion lesion retrogradely. A wire was passed successfully from the popliteal artery to ostial superficial femoral artery. Finally, 2 stents were implanted. This case highlights that popliteal retrograde approach is effective and safe for total occlusion of superficial femoral artery.http://www.sciencedirect.com/science/article/pii/S1930043320304222Chronic total occlusionSuperficial femoral arteryPopliteal artery
spellingShingle Nguyen Viet Lam, MD
Phan Anh Khoa, MD
Nguyen Ngoc Son, MD
Tran Duc Anh, MD
Ho Anh Binh, MD, PhD
Endovascular treatment for chronic total occlusion of superficial femoral artery: Is retrograde approach from popliteal artery effective and safe?
Radiology Case Reports
Chronic total occlusion
Superficial femoral artery
Popliteal artery
title Endovascular treatment for chronic total occlusion of superficial femoral artery: Is retrograde approach from popliteal artery effective and safe?
title_full Endovascular treatment for chronic total occlusion of superficial femoral artery: Is retrograde approach from popliteal artery effective and safe?
title_fullStr Endovascular treatment for chronic total occlusion of superficial femoral artery: Is retrograde approach from popliteal artery effective and safe?
title_full_unstemmed Endovascular treatment for chronic total occlusion of superficial femoral artery: Is retrograde approach from popliteal artery effective and safe?
title_short Endovascular treatment for chronic total occlusion of superficial femoral artery: Is retrograde approach from popliteal artery effective and safe?
title_sort endovascular treatment for chronic total occlusion of superficial femoral artery is retrograde approach from popliteal artery effective and safe
topic Chronic total occlusion
Superficial femoral artery
Popliteal artery
url http://www.sciencedirect.com/science/article/pii/S1930043320304222
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