scholarly journals Peculiarities of the Leg Collateral Blood Flow After the Postcatheterization Occlusion of a Common Femoral Artery

2017 ◽  
Vol 2017 (3) ◽  
pp. 39-44
Author(s):  
V. PETROV ◽  
◽  
P. POVALYASHKO ◽  
V.P. FEDORENKO ◽  
◽  
...  
2019 ◽  
Vol 3 (3) ◽  
Author(s):  
Carlo Trani ◽  
Giulio Russo ◽  
Cristina Aurigemma ◽  
Francesco Burzotta

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.


1999 ◽  
Vol 86 (2) ◽  
pp. 709-719 ◽  
Author(s):  
Takuya Osada ◽  
Toshihito Katsumura ◽  
Takafumi Hamaoka ◽  
Shigeru Inoue ◽  
Kazuki Esaki ◽  
...  

The redistribution of blood flow (BF) in the abdominal viscera during right-legged knee extension-flexion exercise at very low intensity [peak heart rate (HR), 76 beats/min] was examined by using Doppler ultrasound. While sitting, subjects performed a right-legged knee extension-flexion exercise every 6 s for 20 min. BF was measured in the upper abdominal aorta (Ao), right common femoral artery (RCFA), and left common femoral artery (LCFA). Visceral BF (BFVis) was determined by the equation [BFAo − (BFRCFA + BFLCFA)]. A comparison with the change in BF (ΔBF) preexercise showed a greater increase in ΔBFRCFA than in ΔBFAo during exercise. This resulted in a reduction of BFVisto 56% of its preexercise value or a decrease in flow by 1,147 ± 293 (±SE) ml/min at the peak workload. Oxygen consumption correlated positively with ΔBFAo, ΔBFRCFA, and ΔBFLCFA but inversely with ΔBFVis during exercise and recovery. Furthermore, BFVis (% of preexercise value) correlated inversely with both an increase in HR ( r = −0.89), and percent peak oxygen consumption ( r = −0.99). This study demonstrated that, even during very-low-intensity exercise (HR <90 beats/min), there was a significant shift in BF from the viscera to the exercising muscles.


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