Case Report
Volume 7 Issue 6 - 2020
Case Report: Percutaneous Revascularization of Superficial Femoral Artery Occlusion through Transcollaterals Approach
Fawaz Bardooli2*, Kareem Oshoala1, Paolo Sbarzaglia1 and Chiara Grattoni1
1GVM Care and Research, Maria Cecilia Hospital, Cotignola, Ravenna, Italy
2Interventional Cardiology Unit, Mohammed Bin Khalifa Cardiac Center, Bahrain
*Corresponding Author: Fawaz Bardooli, Interventional Cardiology Unit, Mohammed Bin Khalifa Cardiac Center, Bahrain.
Received: February 14, 2020; Published: May 25, 2020




Abstract

Peripheral chronic total occlusion occurs in 30% of patient with peripheral vascular disease. Long calcified type of occlusion are still better served with bypass grafts. Yet 60 - 80% of the cases may be managed percutaneously. Different access techniques (antegrade, retrograde and through collaterals) has been describes in literature. This case will discuss retrograde access through antergrade puncture using single wire with balloon support. Many advantages of such strategy including time saving and avoiding another retrograde access puncture site. This approach however, requires more skills and sometimes very trackable small supporting devices.

Keywords: Superficial Artery Occlusion; Peripheral Vascular Disease; Trans-Collateral Access; Percutaneous Vascular Intervention

References

  1. Norgren L., et al. “Inter-society consensus for the management of peripheral arterial disease”. International Angiology 2 (2007): 81-157.
  2. Tendera M., et al. “ESC Guidelines on the diagnosis and treatment of peripheral artery diseases”. European Heart Journal 22 (2011): 2851-2906.
  3. Jacobs DL., et al. “True lumen re-entry devices facilitate subintimal angioplasty and stenting of total chronic occlusions: Initial report”. Journal of Vascular Surgery 6 (2006): 1291-1296.
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  5. Rogers JH and Laird JR. “Overview of new technologies for lower extremity revascularization”. Circulation18 (2007): 2072-2085.
  6. Zander T., et al. “Transcollateral approach for percutaneous revascularization of complex superficial femoral artery and tibioperoneal trunk occlusions”. Journal of Vascular and Interventional Radiology 5 (2012): 691-695.
  7. Saratzis A., et al. “Commentary: Popliteal Approach in the Supine Position After Failed Antegrade Angioplasty for Chronic Superficial Femoral Artery Occlusion”. Journal of Endovascular Therapy 2 (2010): 259-260.
  8. Nakamura Y., et al. “Successful Endovascular Treatment of Chronic Total Occlusion of Superficial Femoral Artery Using Retrograde Approach from Deep Femoral Artery”. Fukushima Journal of Medical Science 1 (2014): 43-46.
  9. Nakama T., et al. “A breakthrough trans-collateral retrograde access for occlusive superficial femoral artery: multi-site access and sheaths insertion (MUSASHI) technique”. Cardiovascular Intervention and Therapeutics 4 (2015): 356-361.
  10. Zuffi A., et al. “Recanalization of a Challenging Chronic Total Occlusion of the Superficial Femoral Artery through the Profunda Femoris Using a Pure Retrograde Technique”. Journal of Vascular and Interventional Radiology 8 (2016): 1253-1257.
Citation: Fawaz Bardooli., et al. “Case Report: Percutaneous Revascularization of Superficial Femoral Artery Occlusion through Transcollaterals Approach”. EC Cardiology 7.6 (2020): 29-32.

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