SUCCESSFUL ENDOVASCULAR TREATMENT OF CHRONIC TOTAL OCCLUSION OF SUPERFICIAL FEMORAL ARTERY USING RETROGRADE APPROACH FROM DEEP FEMORAL ARTERY

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.

Download Full-text

TCTAP C-181 The Combination of Newly Designed Side-grooved Guiding Sheath and OUTBACK Catheter for the Endovascular Treatment of Superficial Femoral Artery Chronic Total Occlusion

Journal of the American College of Cardiology ◽

10.1016/j.jacc.2018.03.387 ◽

2018 ◽

Vol 71 (16) ◽

pp. S253

Author(s):

Yoshito Kadoya ◽

Kan Zen ◽

Satoaki Matoba

Keyword(s):

Endovascular Treatment ◽

Femoral Artery ◽

Superficial Femoral Artery ◽

Chronic Total Occlusion ◽

Total Occlusion

Download Full-text

A Successful Case of Endovascular Therapy for Severely Calcified Plaque Removed by Biopsy Forceps at the Superficial Femoral Artery

10.21203/rs.3.rs-613062/v1 ◽

2021 ◽

Author(s):

Shojiro Hirano ◽

Atsushi Funatsu ◽

Shigeru Nakamura ◽

Takanori Ikeda

Keyword(s):

Femoral Artery ◽

Superficial Femoral Artery ◽

Chronic Total Occlusion ◽

Biopsy Forceps ◽

Deep Femoral Artery ◽

Total Occlusion ◽

Stent Expansion ◽

Successful Case ◽

Calcified Plaque ◽

The Right

Abstract BackgroundCurrently, the success rate of EVT for treating CTO of the SFA is high; however, EVT is still found to be insufficient in treating CTOs with severely calcified lesions. Even if the guidewire crosses the lesion, the calcifications may still cause difficulties during stent expansion.Main textA 78-year-old male had been reported to have intermittent claudication with chronic total occlusion (CTO) of the right superficial femoral artery (SFA). Angiography revealed severely calcified plaque at the ostium of the SFA. Stenting posed a risk of underexpansion, causing the plaque to shift to the deep femoral artery. we decided to remove the calcified plaque using biopsy forceps. After removing the extended calcified plaque, the guidewire could cross easily, and the self-expandable stent was well dilated without causing the plaque to shift to the DFA. ConclusionBiopsy forceps may be used in some endovascular cases to remove severely calcified lesions.To ensure the safety of the patient, the physician must be adept at performing this technique before attempting it.

Download Full-text

Newly Designed Side-Grooved Guiding Sheath for the Endovascular Treatment of Superficial Femoral Artery Chronic Total Occlusion

JACC Cardiovascular Interventions ◽

10.1016/j.jcin.2017.05.037 ◽

2017 ◽

Vol 10 (16) ◽

pp. e151-e152

Author(s):

Yoshito Kadoya ◽

Kan Zen ◽

Yohei Oda ◽

Satoaki Matoba

Keyword(s):

Endovascular Treatment ◽

Femoral Artery ◽

Superficial Femoral Artery ◽

Chronic Total Occlusion ◽

Total Occlusion

Download Full-text

A Combined Radial and Pedal Access to Treat a Flush Chronic Total Occlusion of the Superficial Femoral Artery in a Critical Limb Ischemia Patient

Open Journal of Cardiovascular Surgery ◽

10.1177/1179065219834523 ◽

2019 ◽

Vol 11 ◽

pp. 117906521983452

Author(s):

Nicolas W Shammas ◽

Qais Radaideh

Keyword(s):

Femoral Artery ◽

Critical Limb Ischemia ◽

Superficial Femoral Artery ◽

Chronic Total Occlusion ◽

Limb Ischemia ◽

Common Femoral Artery ◽

Retrograde Approach ◽

Total Occlusion ◽

Radial Approach ◽

Antegrade Approach

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.

Download Full-text