Percutaneous retrograde puncture of occluded common femoral artery combined with SAFARI for recanalization of iliac-femoral-BTK arterial occlusion
This report describes the recanalization of iliac-femoral-popliteal-below the knee super-long chronic total occlusion (CTO) in a patient with chronic limb-threatening ischemia. We attempted recanalization with the SAFARI technique but failed because the retrograde guidewire could not re-enter into t...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2023-09-01
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| Series: | Annals of Vascular Surgery - Brief Reports and Innovations |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S277268782300048X |
| Summary: | This report describes the recanalization of iliac-femoral-popliteal-below the knee super-long chronic total occlusion (CTO) in a patient with chronic limb-threatening ischemia. We attempted recanalization with the SAFARI technique but failed because the retrograde guidewire could not re-enter into the true lumen of the common iliac artery. Then we conducted an additional retrograde puncture of the occluded common femoral artery and created a “flossing”-type guidewire to achieve revascularization. We combined the techniques of SAFARI and retrograde puncture of the occluded common femoral artery, which may represent a new strategy for revascularizing such kind of challenging super-long CTO. |
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| ISSN: | 2772-6878 |