scholarly journals PROCEDURAL EFFICIENCY AND TIMING OF THE RETROGRADE APPROACH IN ENDOVASCULAR TREATMENT FOR CHRONIC TOTAL OCCLUSION OF THE SUPERFICIAL FEMORAL ARTERY

2021 ◽  
Vol 77 (18) ◽  
pp. 1007
Author(s):  
Yutaka Tadano ◽  
Jun-ichi Kotani ◽  
Takuya Haraguchi ◽  
Tomohiko Watanabe ◽  
Takuro Sugie ◽  
...  
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.


2019 ◽  
Vol 11 ◽  
pp. 117906521983452
Author(s):  
Nicolas W Shammas ◽  
Qais Radaideh

We present a case of a flush chronic total occlusion of the superficial femoral artery treated successfully with a combined antegrade approach using radial access and a retrograde approach using a pedal access. Patient has total occlusion of the contralateral left external iliac and common femoral artery. Our case illustrates the feasibility of the combined pedal-radial approach in treating flush occlusions of the superficial femoral artery.


2015 ◽  
Vol 8 (3) ◽  
pp. 220-226 ◽  
Author(s):  
Daisuke Ueshima ◽  
Takashi Ashikaga ◽  
Tsukasa Shimura ◽  
Yu Hatano ◽  
Taro Sasaoka ◽  
...  

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