Introduction: Often physicians and patients believe that occluded vessels could not be recanalized because an occlusive lesion is too long or exists over a very long period. We report a successful recanalization of a lengthy, quarter-century old superficial femoral artery occlusion through a percutaneous transluminal angioplasty.
Report: We present the recanalization and angioplasty of the superficial femoral artery in a patient with a 37 cm long and 25 years old superficial femoral artery occlusion with limb ischemia, and who was considered as a high surgical risk. Through a subintimal dissection plane and with subsequent Pacific-balloon dilatation, two stent grafts were deployed to maintain patency. The post-intervention angiography and ankle-brachial index (ABI) showed a satisfactory primary outcome.
Discussion: The recent guidelines recommend the endovascular therapy as the preferred strategy in patients with long and complex femoropopliteal lesions, an adequate recommendation as our case demonstrates. This case demonstrates that neither lesion length nor duration of an occlusion should be a cause to withhold an endovascular treatment.
Published on: Aug 30, 2014 Pages: 23-25
Malgorzata Gabriela WASNIEWSKA
University of Messina, Italy
International Journal of Clinical Endocrinology and Metabolism
ReGenera R&D International for Aging Intervention & San Babila Clinic, Milano, Italy
Archives of Clinical Gastroenterology
Arghya Narayan Banerjee
Yeungnam University, South Korea
International Journal of Nanomaterials, Nanotechnology and Nanomedicine
Vingolo Enzo Maria
Sapienza University of Rome, Italy
Journal of Clinical Research and Ophthalmology
Cardiometabolic Research Institute, USA
Journal of Cardiovascular Medicine and Cardiology