Retrograde deep femoral artery puncture for the treatment of an iatrogenic dissection flap of the common femoral artery bifurcation

被引:2
|
作者
Chen, Winsor [1 ,2 ]
Labropoulos, Nicos [3 ]
Pacanowski, John [1 ,2 ]
Leon, Luis R., Jr. [1 ,2 ]
机构
[1] Univ Arizona, Dept Surg, Div Vasc & Endovasc Surg, Tucson, AZ USA
[2] Pima Vasc, Div Vasc & Endovasc Surg, Dept Surg, Tucson, AZ 85718 USA
[3] Dept Surg, Div Vasc & Endovasc Surg StonyBrook, Long Isl City, NY USA
来源
JOURNAL OF VASCULAR SURGERY CASES INNOVATIONS AND TECHNIQUES | 2020年 / 6卷 / 04期
关键词
Retrograde; Deep femoral artery; Profunda femoris artery; Endovascular; Dissection; PERCUTANEOUS TRANSLUMINAL ANGIOPLASTY; RECANALIZATION; POPLITEAL;
D O I
10.1016/j.jvscit.2020.09.007
中图分类号
R61 [外科手术学];
学科分类号
摘要
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.
引用
收藏
页码:648 / 652
页数:5
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