Percutaneous access of an intraoperatively recanalized mid-superficial femoral artery for distal lower limb revascularization
A 61-year-old male patient presented with rest pain and ulceration in his left leg 1 week after a hybrid procedure with bilateral external iliac stenting, common femoral artery thromboendarterectomy, and left-sided femoral popliteal bypass with an in situ saphenous vein. The bypass had been stented...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2023-06-01
|
| Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428723000795 |
| _version_ | 1797797140063322112 |
|---|---|
| author | Angelos Karelis, MD, PhD Doriana Ferrara, MD Björn Sonesson, MD, PhD Nuno Dias, MD, PhD |
| author_facet | Angelos Karelis, MD, PhD Doriana Ferrara, MD Björn Sonesson, MD, PhD Nuno Dias, MD, PhD |
| author_sort | Angelos Karelis, MD, PhD |
| collection | DOAJ |
| description | A 61-year-old male patient presented with rest pain and ulceration in his left leg 1 week after a hybrid procedure with bilateral external iliac stenting, common femoral artery thromboendarterectomy, and left-sided femoral popliteal bypass with an in situ saphenous vein. The bypass had been stented intraoperatively but had again become occluded directly after surgery. In the present report, we demonstrate the usefulness of direct percutaneous access to the mid-superficial femoral artery that had been intraoperatively recanalized via brachial artery access during the same procedure. This innovative combination of approaches allows for proximal and distal lower limb revascularization with stenting when avoidance of femoral artery access is considered appropriate. |
| first_indexed | 2024-03-13T03:44:43Z |
| format | Article |
| id | doaj.art-86d08d7173bf4bc982d1cd0a6ca954c8 |
| institution | Directory Open Access Journal |
| issn | 2468-4287 |
| language | English |
| last_indexed | 2024-03-13T03:44:43Z |
| publishDate | 2023-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Vascular Surgery Cases and Innovative Techniques |
| spelling | doaj.art-86d08d7173bf4bc982d1cd0a6ca954c82023-06-23T04:43:42ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872023-06-0192101170Percutaneous access of an intraoperatively recanalized mid-superficial femoral artery for distal lower limb revascularizationAngelos Karelis, MD, PhD0Doriana Ferrara, MD1Björn Sonesson, MD, PhD2Nuno Dias, MD, PhD3Vascular Center, Department of Thoracic and Vascular Diseases, Skåne University Hospital, Malmö, Sweden; Department of Clinical Sciences Malmö, Lund University, Malmö, Sweden; Correspondence: Angelos Karelis, MD, Vascular Center, Department of Thoracic Surgery and Vascular Diseases, Skåne University Hospital, Ruth Lundskogs Gata 10/1, Malmö 205 02, SwedenVascular Center, Department of Thoracic and Vascular Diseases, Skåne University Hospital, Malmö, Sweden; ASST Fatebenefratelli Sacco, AOU Federico II, Milan, ItalyVascular Center, Department of Thoracic and Vascular Diseases, Skåne University Hospital, Malmö, Sweden; Department of Clinical Sciences Malmö, Lund University, Malmö, SwedenVascular Center, Department of Thoracic and Vascular Diseases, Skåne University Hospital, Malmö, Sweden; Department of Clinical Sciences Malmö, Lund University, Malmö, SwedenA 61-year-old male patient presented with rest pain and ulceration in his left leg 1 week after a hybrid procedure with bilateral external iliac stenting, common femoral artery thromboendarterectomy, and left-sided femoral popliteal bypass with an in situ saphenous vein. The bypass had been stented intraoperatively but had again become occluded directly after surgery. In the present report, we demonstrate the usefulness of direct percutaneous access to the mid-superficial femoral artery that had been intraoperatively recanalized via brachial artery access during the same procedure. This innovative combination of approaches allows for proximal and distal lower limb revascularization with stenting when avoidance of femoral artery access is considered appropriate.http://www.sciencedirect.com/science/article/pii/S2468428723000795Advanced endovascular techniquesChronic limb threatening ischemiaPeripheral arterial diseaseThigh puncture |
| spellingShingle | Angelos Karelis, MD, PhD Doriana Ferrara, MD Björn Sonesson, MD, PhD Nuno Dias, MD, PhD Percutaneous access of an intraoperatively recanalized mid-superficial femoral artery for distal lower limb revascularization Journal of Vascular Surgery Cases and Innovative Techniques Advanced endovascular techniques Chronic limb threatening ischemia Peripheral arterial disease Thigh puncture |
| title | Percutaneous access of an intraoperatively recanalized mid-superficial femoral artery for distal lower limb revascularization |
| title_full | Percutaneous access of an intraoperatively recanalized mid-superficial femoral artery for distal lower limb revascularization |
| title_fullStr | Percutaneous access of an intraoperatively recanalized mid-superficial femoral artery for distal lower limb revascularization |
| title_full_unstemmed | Percutaneous access of an intraoperatively recanalized mid-superficial femoral artery for distal lower limb revascularization |
| title_short | Percutaneous access of an intraoperatively recanalized mid-superficial femoral artery for distal lower limb revascularization |
| title_sort | percutaneous access of an intraoperatively recanalized mid superficial femoral artery for distal lower limb revascularization |
| topic | Advanced endovascular techniques Chronic limb threatening ischemia Peripheral arterial disease Thigh puncture |
| url | http://www.sciencedirect.com/science/article/pii/S2468428723000795 |
| work_keys_str_mv | AT angeloskarelismdphd percutaneousaccessofanintraoperativelyrecanalizedmidsuperficialfemoralarteryfordistallowerlimbrevascularization AT dorianaferraramd percutaneousaccessofanintraoperativelyrecanalizedmidsuperficialfemoralarteryfordistallowerlimbrevascularization AT bjornsonessonmdphd percutaneousaccessofanintraoperativelyrecanalizedmidsuperficialfemoralarteryfordistallowerlimbrevascularization AT nunodiasmdphd percutaneousaccessofanintraoperativelyrecanalizedmidsuperficialfemoralarteryfordistallowerlimbrevascularization |