Retrograde deep femoral artery puncture for the treatment of an iatrogenic dissection flap of the common femoral artery bifurcation
| Autor: | Nicos Labropoulos, Luis R. Leon, John P. Pacanowski, Winsor Chen |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
lcsh:Diseases of the circulatory (Cardiovascular) system medicine.medical_treatment lcsh:Surgery Dissection (medical) Femoral artery 030204 cardiovascular system & hematology Revascularization 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Angioplasty medicine.artery Case report Deep Femoral Artery medicine Deep femoral artery Endovascular business.industry Dissection lcsh:RD1-811 medicine.disease Surgery Antegrade approach lcsh:RC666-701 Retrograde Profunda femoris artery Diabetic patient Cardiology and Cardiovascular Medicine business Previously treated |
| Zdroj: | Journal of Vascular Surgery Cases and Innovative Techniques, Vol 6, Iss 4, Pp 648-652 (2020) Journal of Vascular Surgery Cases and Innovative Techniques |
| ISSN: | 2468-4287 |
| Popis: | The authors report on a diabetic patient with tissue loss, previously treated with a femoral-tibial bypass, which occluded shortly after construction. A combination of antegrade contralateral femoral and retrograde tibial access was used for revascularization. Angiogram demonstrated a dissection flap occluding the deep femoral artery flow, which was unable to be crossed from an antegrade approach. A retrograde deep femoral artery access was used to perform "kissing" angioplasty of the origins of the superficial and deep femoral arteries, thus successfully reestablishing flow to both vessels. This represents an unconventional endovascular technique that can be safely performed as a bailout maneuver. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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