Autor: |
Balas, Panagiotis, Pangratis, Nicolas, Ioannou, Nikos, Milas, Photis, Klonaris, Christos, Masouridou, Efi |
Zdroj: |
Journal of Endovascular Therapy; February 2000, Vol. 7 Issue: 1 p68-71, 4p |
Abstrakt: |
Purpose: To describe an open approach to subintimal angioplasty.Technique: Through a subinguinal incision and arteriotomy over the superficial femoral artery origin, the opening of a subintimal channel is created surgically. The subintimal plane is advanced distally with a guidewire, and this neolumen is expanded with sequential balloon dilations. The atherosclerotic core is dissected proximally in the common femoral artery and tacked down to ensure inflow. A patch graft closes the arteriotomy.Conclusions: Open subintimal angioplasty is a simple, minimally invasive alternative treatment for complete SFA occlusion. Long-term follow-up in a large group of patients will be necessary to determine the durability of the false arterial lumen. |
Databáze: |
Supplemental Index |
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