Anterior Tibial Artery Angioplasty and Stenting by Retrograde Pedal Artery Approach in Diabetic Patient with Critical Limb Ischemia: A Case Report
| Autor: | Yong Sung Won, Jang Yong Kim, Il Yong Shin, Jang Sang Park, Ji Il Kim, Sang Seob Yun, Youngkyun Kim, In Sung Moon |
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| Rok vydání: | 2012 |
| Předmět: |
Gangrene
medicine.medical_specialty medicine.diagnostic_test business.industry medicine.medical_treatment Critical limb ischemia medicine.disease Diabetic foot Surgery body regions medicine.anatomical_structure Internal medicine Angioplasty Anterior tibial artery medicine.artery medicine Cardiology Tibial artery cardiovascular diseases medicine.symptom Cardiology and Cardiovascular Medicine business Artery Computed tomography angiography |
| Zdroj: | Vascular Specialist International. 28:212-216 |
| ISSN: | 2288-7989 2288-7970 |
| DOI: | 10.5758/kjves.2012.28.4.212 |
| Popis: | Endovascular therapy of critical limb ischemia is indicated in high risk patients, especially the diabetics. The ipsilateral antegrade femoral approach is the most common access site. When this approach fails, the retrograde pedal artery percutaneous approach can be considered. A 51-year-old diabetic male patient was presented with severe rest pain and gangrene on his right 4th toe. Computed tomography angiography showed multilevel calcific arterial occlusive disease, involving the popliteal and proximal anterior tibial arteries. Below knee angioplasty and stenting of the right leg was done through ipsilateral antegrade femoral approach and retrograde pedal artery approach. The C-arm guided retrograde pedal approach for calcific artery was useful for recanalization of the occluded anterior tibial artery when antegrade approach failed. |
| Databáze: | OpenAIRE |
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