scholarly journals The conundrum of endovascular common femoral artery treatment: a case report of lithoplasty as a viable solution

2019 ◽  
Vol 3 (3) ◽  
Author(s):  
Carlo Trani ◽  
Giulio Russo ◽  
Cristina Aurigemma ◽  
Francesco Burzotta
Keyword(s):  
Blood Flow ◽  
Endovascular Treatment ◽  
Femoral Artery ◽  
Common Femoral Artery ◽  
Stent Fracture ◽  
Class Iii ◽  
Activity Restriction ◽  
Lower Limb Pain ◽  
Flow Restoration ◽  
Artery Disease

Abstract Background Highly calcific stenosis located in common femoral artery (CFA) represents a difficult target for endovascular treatment due to the possible need for stent implantation in that area. Case summary A 63-year-old man with history of coronary artery disease and previous multiple percutaneous transluminal angioplasties for peripheral artery disease (PAD) was admitted for recent onset left lower limb pain at rest with severe activity restriction (Leriche-Fontaine Class III and Rutherford Class III–IV). The angio-computed tomography scan showed a highly calcific stenosis of left CFA. The patient underwent lithoplasty balloon angioplasty followed by drug-eluting balloon inflation with excellent angiographic result and complete blood flow restoration. No procedural complications occurred. Discussion Highly calcified stenosis in PAD represents a huge challenge for endovascular treatment as not all lower extremity arteries are suitable for stenting because of compressive and torsional forces associated with stent fracture and restenosis. Lithoplasty is a new technology allowing effective blood flow restoration while minimizing vessel injury.

scholarly journals Endovascular Treatment of Common Femoral Artery Atherosclerotic Disease

2018 ◽  
Vol 1 (1) ◽  
pp. 12-16 ◽  
Author(s):  
Omar Jawaid ◽  
Ehrin Armstrong
Keyword(s):  
Endovascular Treatment ◽  
Femoral Artery ◽  
Common Femoral Artery ◽  
Critical Limb Ischaemia ◽  
Limb Ischaemia ◽  
Long Term Outcomes ◽  
Patch Angioplasty ◽  
The Common ◽  
Artery Disease

Common femoral artery atherosclerosis is a common cause of claudication and critical limb ischaemia. Surgical endarterectomy with or without patch angioplasty has been considered the gold standard for the treatment of common femoral peripheral artery disease. Endovascular intervention to the common femoral artery has gained popularity in recent years as devices and technical skills have advanced. A systematic review of the literature from 1987 to 2018 for endovascular treatment of common femoral artery disease was conducted. This article summarises the data on acute and long-term outcomes for endovascular treatment of common femoral artery disease.

Combined use of directional atherectomy and drug-coated balloon for the endovascular treatment of common femoral artery disease: immediate and one-year outcomes

2017 ◽  
Vol 12 (14) ◽  
pp. 1789-1794 ◽  
Author(s):  
Angelo Cioppa ◽  
Eugenio Stabile ◽  
Luigi Salemme ◽  
Grigore Popusoi ◽  
Armando Pucciarelli ◽  
...  
Keyword(s):  
Endovascular Treatment ◽  
Femoral Artery ◽  
Common Femoral Artery ◽  
Directional Atherectomy ◽  
Combined Use ◽  
Artery Disease ◽  
One Year ◽  
Drug Coated Balloon

scholarly journals Endovascular Treatment of Common Femoral Artery Disease

2011 ◽  
Vol 58 (8) ◽  
pp. 792-798 ◽  
Author(s):  
Robert F. Bonvini ◽  
Aljoscha Rastan ◽  
Sebastian Sixt ◽  
Elias Noory ◽  
Thomas Schwarz ◽  
...  
Keyword(s):  
Endovascular Treatment ◽  
Femoral Artery ◽  
Common Femoral Artery ◽  
Artery Disease

Mid-term outcome after endovascular therapy in the superficial femoral and popliteal artery using long stents

VASA ◽  
2012 ◽  
Vol 41 (1) ◽  
pp. 49-56 ◽  
Author(s):  
Schoenefeld ◽  
P. Donas ◽  
Schönefeld ◽  
Osada ◽  
Austermann ◽  
...  
Keyword(s):  
Endovascular Treatment ◽  
Popliteal Artery ◽  
Primary Patency ◽  
Stent Fracture ◽  
Fracture Rate ◽  
Term Outcome ◽  
Technical Success Rate ◽  
Endovascular Interventions ◽  
Artery Disease

Background: Peripheral artery disease (PAD) affecting the femoropopliteal artery is treated by endovascular interventions [2, 5, 13] increasingly. Aim of the study was to evaluate mid-term efficacy and patency of long stents in the superficial femoral and popliteal artery. Patients and methods: Between September 2006 and September 2007 103 patients received 128 stents for endovascular treatment of femoropopliteal vascular stenosis or occlusion. Clinical and hemodynamic parameters were collected. Risk factors, popliteal involvement and TASC classification, were documented and evaluated. Results: Immediate outcome was satisfactory with a technical success rate of 100 %. After a mean follow-up period of 21 months, primary patency was 83.6 %. Potential risk factor analysis for restenosis and fracture demonstrated hypertension to have borderline significance (P = 0.06). In normotensive patients no restenosis occurred. Further pre-conditions, e.g. smoking, metabolic syndrome, age, gender and previous intervention did not show any influence on restenosis or stent fracture. TASC C and D lesion had similar patency rates compared to TASC A and B lesions. Most of the restenoses (13 out of 16) were observed within the first six months of follow-up. Six stent fracture were observed (4.7 %). Conclusions: Long stents had convincing results after endovascular treatment of the femoropopliteal PAD. The used stent was an efficacious endovascular tool for long athersclerotic lesions in the superficial femoral and popliteal artery. Fracture rate was low with an incidence of 4.7 %. Most restenoses occurred within the first six months so that careful follow-up would be necessary.

Noninvasive Detection of Iliac Artery Disease and Prediction of Its Severity from Doppler Spectral Analysis in Common Femoral Artery

Angiology ◽  
1997 ◽  
Vol 48 (7) ◽  
pp. 615-621 ◽  
Author(s):  
Shinji Makita ◽  
Atsushi Ohira ◽  
Hirofumi Murakami ◽  
Shigehiro Itoh ◽  
Katsuhiko Hiramori ◽  
...  
Keyword(s):  
Spectral Analysis ◽  
Femoral Artery ◽  
Iliac Artery ◽  
Common Femoral Artery ◽  
Noninvasive Detection ◽  
Artery Disease ◽  
Doppler Spectral Analysis

Outcomes of directional atherectomy for common femoral artery disease

2021 ◽  
Vol 17 (3) ◽  
pp. 260-266
Author(s):  
Tanja Böhme ◽  
Leonardo Romano ◽  
Roland-Richard Macharzina ◽  
Elias Noory ◽  
Ulrich Beschorner ◽  
...  
Keyword(s):  
Femoral Artery ◽  
Common Femoral Artery ◽  
Directional Atherectomy ◽  
Artery Disease
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