Healing of femoral artery dissection after drug-coated balloon angioplasty: A case report with intravascular ultrasonography and angioscopy images
Early 80s male with intermitted claudication underwent endovascular therapy for atherosclerotic stenosis at left external iliac artery and middle of superficial femoral artery. Patient also had chronic atrial fibrillation, diabetes mellitus, and hypertension. After stent deployment for external ilia...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2019-02-01
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| Series: | SAGE Open Medical Case Reports |
| Online Access: | https://doi.org/10.1177/2050313X19834159 |
| _version_ | 1818941710061797376 |
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| author | Taketsugu Tsuchiya Minako Oda Takaaki Takamura Katsuhide Kitagawa Koji Kajinami Michihiko Kitayama |
| author_facet | Taketsugu Tsuchiya Minako Oda Takaaki Takamura Katsuhide Kitagawa Koji Kajinami Michihiko Kitayama |
| author_sort | Taketsugu Tsuchiya |
| collection | DOAJ |
| description | Early 80s male with intermitted claudication underwent endovascular therapy for atherosclerotic stenosis at left external iliac artery and middle of superficial femoral artery. Patient also had chronic atrial fibrillation, diabetes mellitus, and hypertension. After stent deployment for external iliac artery lesion, a short superficial femoral artery lesion was performed with angioplasty using drug-coated balloon. The drug-coated balloon angioplasty resulted in 50% residual stenosis with linear dissection; however, provisional stenting was not performed as decent ante-grade blood flow allowed 10 extra minutes. Medication involved ongoing use of aspirin 100 mg and rivaroxaban 15 mg. Angiography post 3 months from index procedure showed external iliac artery and superficial femoral artery patency and healing of intimal dissection at superficial femoral artery lesion was estimated by intravascular ultrasonography. In angioscopy findings, red thrombus was seen in dissection cavity. |
| first_indexed | 2024-12-20T06:59:51Z |
| format | Article |
| id | doaj.art-ecad71249a4b428eae12718b4f1868b3 |
| institution | Directory Open Access Journal |
| issn | 2050-313X |
| language | English |
| last_indexed | 2024-12-20T06:59:51Z |
| publishDate | 2019-02-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | SAGE Open Medical Case Reports |
| spelling | doaj.art-ecad71249a4b428eae12718b4f1868b32022-12-21T19:49:14ZengSAGE PublishingSAGE Open Medical Case Reports2050-313X2019-02-01710.1177/2050313X19834159Healing of femoral artery dissection after drug-coated balloon angioplasty: A case report with intravascular ultrasonography and angioscopy imagesTaketsugu Tsuchiya0Minako Oda1Takaaki Takamura2Katsuhide Kitagawa3Koji Kajinami4Michihiko Kitayama5Department of Trans-catheter Cardiovascular Therapeutics, Kanazawa Medical University Hospital, Kahoku, JapanDepartment of Cardiology, Kanazawa Medical University Hospital, Kahoku, JapanDepartment of Cardiology, Kanazawa Medical University Hospital, Kahoku, JapanDepartment of Trans-catheter Cardiovascular Therapeutics, Kanazawa Medical University Hospital, Kahoku, JapanDepartment of Cardiology, Kanazawa Medical University Hospital, Kahoku, JapanDepartment of Trans-catheter Cardiovascular Therapeutics, Kanazawa Medical University Hospital, Kahoku, JapanEarly 80s male with intermitted claudication underwent endovascular therapy for atherosclerotic stenosis at left external iliac artery and middle of superficial femoral artery. Patient also had chronic atrial fibrillation, diabetes mellitus, and hypertension. After stent deployment for external iliac artery lesion, a short superficial femoral artery lesion was performed with angioplasty using drug-coated balloon. The drug-coated balloon angioplasty resulted in 50% residual stenosis with linear dissection; however, provisional stenting was not performed as decent ante-grade blood flow allowed 10 extra minutes. Medication involved ongoing use of aspirin 100 mg and rivaroxaban 15 mg. Angiography post 3 months from index procedure showed external iliac artery and superficial femoral artery patency and healing of intimal dissection at superficial femoral artery lesion was estimated by intravascular ultrasonography. In angioscopy findings, red thrombus was seen in dissection cavity.https://doi.org/10.1177/2050313X19834159 |
| spellingShingle | Taketsugu Tsuchiya Minako Oda Takaaki Takamura Katsuhide Kitagawa Koji Kajinami Michihiko Kitayama Healing of femoral artery dissection after drug-coated balloon angioplasty: A case report with intravascular ultrasonography and angioscopy images SAGE Open Medical Case Reports |
| title | Healing of femoral artery dissection after drug-coated balloon angioplasty: A case report with intravascular ultrasonography and angioscopy images |
| title_full | Healing of femoral artery dissection after drug-coated balloon angioplasty: A case report with intravascular ultrasonography and angioscopy images |
| title_fullStr | Healing of femoral artery dissection after drug-coated balloon angioplasty: A case report with intravascular ultrasonography and angioscopy images |
| title_full_unstemmed | Healing of femoral artery dissection after drug-coated balloon angioplasty: A case report with intravascular ultrasonography and angioscopy images |
| title_short | Healing of femoral artery dissection after drug-coated balloon angioplasty: A case report with intravascular ultrasonography and angioscopy images |
| title_sort | healing of femoral artery dissection after drug coated balloon angioplasty a case report with intravascular ultrasonography and angioscopy images |
| url | https://doi.org/10.1177/2050313X19834159 |
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