Retrograde deep femoral artery puncture for the treatment of an iatrogenic dissection flap of the common femoral artery bifurcation.
Deep femoral artery
Dissection
Endovascular
Profunda femoris artery
Retrograde
Journal
Journal of vascular surgery cases and innovative techniques
ISSN: 2468-4287
Titre abrégé: J Vasc Surg Cases Innov Tech
Pays: United States
ID NLM: 101701125
Informations de publication
Date de publication:
Dec 2020
Dec 2020
Historique:
received:
18
06
2020
accepted:
11
09
2020
entrez:
16
11
2020
pubmed:
17
11
2020
medline:
17
11
2020
Statut:
epublish
Résumé
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.
Identifiants
pubmed: 33195886
doi: 10.1016/j.jvscit.2020.09.007
pii: S2468-4287(20)30165-9
pmc: PMC7645383
doi:
Types de publication
Case Reports
Langues
eng
Pagination
648-652Informations de copyright
© 2020 The Authors.
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