Author + information
Patient initials or identifier number
Relevant clinical history and physical exam
Mr. L a 45 years-old man. Left leg claudication for one year, initially presented with acute leg pain when playing basketball Left popliteal artery total occlusion was diagnosed by CTA at TCVGH in 2015 August Worsening symptom for a month, the Rutherford classification stage 3, the Fontaine classification stage IIbfd classification stage 3, the Fontaine classification stage IIb.b
Relevant test results prior to catheterization
In 2015 August ABI: R’t 1.04, L’t 0.64
Peripheral echo: PAOD, total occluded left popliteal artery
Relevant catheterization findings
Left popliteal artery total occlusion with collateral
A 6Fr sheath was inserted into RFA. After diagnosed angiogram by 6Fr JR 4.0 GC. It changed to 6Fr Crossover sheath. A 4Fr Shuttle sheath placed at left distal SFA. The lesion punctured with HT connect 0.018 300 cm (250T) uncer CXI support. The lesion was finally passed through by CTO-18g GW. Then Laser Vitesse COS Cath 1.7 mm. Then it dilated with Pacific 5.0/80 mm BC 10 bars. The GW was changed to HT connect 0.018300 cm. Then it stented with Supera 6.0-80 and post-dilated with PACIFICXTREME 6.0-40 10-16 bars. It was further treated with ADMIRAL(DEB)6.0-150).Adequate result was achieved and the wound was closed by Pro glide.
The high mobility of the knee joint and the potential for external stent compression,fractures, and occlusion. The Supera stent was developed to provide superior radial strength, fracture resistance, and flexibility compared with laser-cut nitinol stents.