scholarly journals TCTAP C-171 Endovascular Treatment for Chronic Total Occlusion of Superficial Femoral Artery After Axillofemoral Bypass

2019 ◽  
Vol 73 (15) ◽  
pp. S232-S233
Author(s):  
Daisuke Yokota
Author(s):  
Viet Lam Nguyen ◽  
Anh Khoa Phan ◽  
Ngoc Son Nguyen ◽  
Anh Binh Ho

An 55 years-old man with intermittent claudication was admitted to Hue central Hospital. Doppler ultrasound and digital subtraction angiography showed his left superficial femoral artery (SFA) was chronic total occlusion (CTO), and we performed endovascular treatment (EVT). We advanced a guide-wire by contralateral transfemoral approach, but guide-wire could not penetrate the occluded SFA lesion antegradely. Thus, we tried to approach the CTO lesion retrogradely. A guide-wire passed from popliteal artery to distal SFA. With a reverse-controlled antegrade and retrograde approach technique, we were able to pass the CTO lesion. Finally, two stents were implanted. We experienced a case in which retrograde approach via collateral channel from popliteal artery was effective to CTO of SFA.


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