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CC BY-NC-ND 4.0 · Journal of Clinical Interventional Radiology ISVIR 2021; 5(01): 62-65
DOI: 10.1055/s-0041-1723097
Case Report

Alternative Combined Retrograde–Antegrade Use of a Re-entry Device in the Revascularization of a Surgically Ligated Superficial Femoral Artery Occlusion

Roberto Gandini
1   Department of Diagnostic Imaging and Interventional Radiology, University of Tor Vergata, Rome, Italy
,
Armando Raso
1   Department of Diagnostic Imaging and Interventional Radiology, University of Tor Vergata, Rome, Italy
,
Arezia Di Martino
1   Department of Diagnostic Imaging and Interventional Radiology, University of Tor Vergata, Rome, Italy
,
Fabio Salimei
1   Department of Diagnostic Imaging and Interventional Radiology, University of Tor Vergata, Rome, Italy
,
Daniele Morosetti
1   Department of Diagnostic Imaging and Interventional Radiology, University of Tor Vergata, Rome, Italy
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Abstract

We report a case of a diabetic patient with critical limb ischemia, who previously underwent thromboendarterectomy at the right lower extremity, resulting in surgical ligation at the proximal third of the right superficial femoral artery (SFA). Twenty months later, the patient developed foot ulcers; endovascular treatment was therefore performed. After obtaining a retrograde right SFA subintimal access, directly puncturing the occluded segment of the artery, a re-entry intravascular ultrasound-guided catheter was used to gain proximal re-entry. Then, the same device was used again, in antegrade fashion, to obtain re-entry into the patent popliteal artery. A covered stent was deployed in the site of the surgical closure. In the following 3 months, foot ulcers healed.

Keywords

surgical ligationrevascularization - re-entry


Publication History

Article published online:
16 March 2021

© 2021. Indian Society of Vascular and Interventional Radiology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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