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Patient initials or identifier number
Relevant clinical history and physical exam
A case is an 80 years-old man who underwent femoral-popliteal (F-P) bypass surgery for chronic total occlusion of the right superficial femoral artery with synthetic graft. 4 weeks post-operatively, his F-P bypass occluded. One day suddenly he experienced right leg pain at rest, and was transferred to our hospital. His right popliteal artery and distal side artery were pulseless and his right leg was pale.
Relevant test results prior to catheterization
Enhanced computed tomography showed acute occlusion of deep femoral artery (DFA).
Relevant catheterization findings
Using cross-over approach from left artery, we could successfully cross the occluded DFA. With distal protection of DFA, we performed long inflation with NSE PTA占쏙옙 and attained re-perfusion. We infused 60,000 international units of urokinase to artery at the end of this catheterization.
Using cross-over approach from left femoral artery, we could successfully cross the occluded DFA. With distal protection of DFA, we performed long inflation with NSE PTA and successfully attained re-perfusion. We infused 60,000 international units of urokinase to artery at the end of the intervention.
We could achieve limb salvage by endovascular therapy at the acute arterial occlusion of the DFA with SFA CTO. As he had claudication, he underwent the elective FP bypass using saphenous vein graft after all. Now he is making steady progress.