Percutaneous revascularization of the common femoral artery for limb ischemia

Purpose: To report a new technique to reenter the common femoral artery (CFA) true lumen after retrograde recanalization of a superficial femoral artery (SFA) with flush ostial occlusion. Technique: The technique is demonstrated in a 76-year-old woman with critical limb ischemia previously submitted to several surgical revascularizations. A duplex ultrasound showed flush ostial occlusion of the SFA and patency of the anterior tibial artery at the ankle as the sole outflow vessel. After unsuccessful antegrade attempts to recanalize the SFA, a retrograde guidewire was advanced subintimally up to the CFA, without gaining reentry. A balloon catheter was inflated in the subintimal plane across the SFA ostial occlusion. Antegrade access to the distal CFA was achieved with a 20-G needle, which was used to puncture the balloon. A guidewire was advanced into the balloon and pushed forward while the collapsed balloon was pulled back to the mid SFA. The antegrade guidewire was externalized through a retrograde catheter, which was pushed in the CFA true lumen. A retrograde guidewire was advanced and externalized through the femoral sheath, establishing a flossing wire. The procedure was completed in antegrade fashion. Conclusion: The FORLEE technique is a cost-effective option to gain the CFA true lumen after subintimal retrograde recanalization of an ostial SFA occlusion.

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Endovascular Treatment of the Common Femoral Artery for Limb Ischemia

Vascular and Endovascular Surgery ◽

10.1177/1538574413500723 ◽

2013 ◽

Vol 47 (8) ◽

pp. 639-644 ◽

Cited By ~ 16

Author(s):

Robert S. M. Davies ◽

William Adair ◽

Amman Bolia ◽

Guy Fishwick ◽

Robert D. Sayers ◽

...

Keyword(s):

Endovascular Treatment ◽

Femoral Artery ◽

Limb Ischemia ◽

Common Femoral Artery ◽

The Common

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Common Femoral Artery Access: 2-Dimensional Operative Video

Operative Neurosurgery ◽

10.1093/ons/opaa192 ◽

2020 ◽

Vol 19 (6) ◽

pp. E594-E594

Author(s):

Maureen A Darwal ◽

Mandy J Binning ◽

Mark Bain ◽

Bernard Bendock ◽

Alan S Boulos ◽

...

Keyword(s):

Vascular Access ◽

Femoral Artery ◽

Cerebral Angiography ◽

Limb Ischemia ◽

Common Femoral Artery ◽

Retroperitoneal Hematoma ◽

Anatomic Landmarks ◽

The Common ◽

Groin Hematoma ◽

Safe Access

Abstract Vascular access for cerebral angiography has traditionally been performed via the common femoral artery. It is crucial to obtain safe access to prevent complications that could lead to limb ischemia, groin hematoma, or retroperitoneal hematoma. This is especially true in neurointervention as many patients are anticoagulated or have received intravenous thrombolytics prior to their intervention. Special attention to anatomic landmarks, both grossly and radiographically, can help to assure safe access. The patient consented for this procedure. This video details rapid but safe femoral artery access in a patient undergoing emergent thrombectomy.

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Kissing Stents in the Common Femoral Artery Bifurcation for Critical Limb Ischemia: Technical Description and Report of Three Cases

Vascular ◽

10.2310/6670.2007.00037 ◽

2007 ◽

Vol 15 (4) ◽

pp. 211-214 ◽

Cited By ~ 12

Author(s):

Sven Ross Mathisen ◽

Michael Åkesson ◽

Mats Lindh ◽

Krassi Ivancev ◽

Timothy A. Resch

Keyword(s):

Femoral Artery ◽

Critical Limb Ischemia ◽

Limb Ischemia ◽

Common Femoral Artery ◽

Short Term ◽

Number Of Patients ◽

The Common ◽

Kissing Stent ◽

Patch Plasty

The purpose of this article is to describe three cases of kissing stent placement in the common femoral artery bifurcation in patients unsuitable for open endarterectomy and patch plasty. In three patients with critical limb ischemia, caused by primary atherosclerotic disease or dissection-related injury when performing a lower extremity intervention, a technique of kissing stents was used to treat the flow-obstructing lesion in the common femoral artery bifurcation. Technical success was uniform, and during follow-up (4.5–8 months), all patients showed improved symptoms, wound healing, and duplex ultrasonography–verified patency of the stents. Kissing stents in the common femoral artery bifurcation are a feasible treatment option in patients with limited mobililty or contraindications to open repair. The short-term results seem promising, but longer follow-up and an increased number of patients will be needed to assess the durability of the reconstruction.

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Cystic Adventitial Disease of the Common Femoral Artery Presenting with Acute Limb Ischemia

Annals of Vascular Surgery ◽

10.1016/j.avsg.2014.07.020 ◽

2014 ◽

Vol 28 (8) ◽

pp. 1937.e9-1937.e11 ◽

Cited By ~ 4

Author(s):

Sanjay D. Patel ◽

Mariam Guessoum ◽

Seàn Matheiken

Keyword(s):

Femoral Artery ◽

Limb Ischemia ◽

Common Femoral Artery ◽

Acute Limb Ischemia ◽

The Common

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Initial Experience with Percutaneous Angioplasty of the Common Femoral Artery in De Novo Stenotic Lesions

Annals of Vascular Surgery ◽

10.1016/j.avsg.2015.05.002 ◽

2015 ◽

Vol 29 (8) ◽

pp. 1493-1500 ◽

Cited By ~ 11

Author(s):

Romain de Blic ◽

Jean-François Deux ◽

Hicham Kobeiter ◽

Pascal Desgranges ◽

Jean-Pierre Becquemin ◽

...

Keyword(s):

Femoral Artery ◽

De Novo ◽

Common Femoral Artery ◽

Initial Experience ◽

Percutaneous Angioplasty ◽

The Common ◽

Stenotic Lesions

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Anomalous High Bifurcation of the Common Femoral Artery at the Groin: Management of Gsv Incompetence with Endovenous Laser Ablation

Phlebology The Journal of Venous Disease ◽

10.1258/phleb.2012.012047 ◽

2012 ◽

Vol 28 (5) ◽

pp. 264-267 ◽

Cited By ~ 1

Author(s):

C Lekich ◽

W Campbell ◽

S Walton ◽

P Hannah

Keyword(s):

Laser Ablation ◽

Femoral Artery ◽

Vascular Complications ◽

Common Femoral Artery ◽

Vascular Anomalies ◽

Endovenous Laser Ablation ◽

Safe Treatment ◽

Complications Of Surgery ◽

The Common ◽

Saphenofemoral Junction

Objectives: To discuss safety of EVLA in anomalies of the GSV anatomy. To review and discuss complications of surgery involving anomalous anatomy. Method: We report a case of high bifurcation of the common femoral artery wrapping around the saphenofemoral junction. Results: Successful ablation was achieved with no adverse consequences. Conclusion: EVLA is a safe treatment for SFJ/GSV incompetence in the presence of vascular anomalies that have historically resulted in serious vascular complications from surgery.

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