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Clinical data

•78 Years old male
 
•Risk factors : HBP, Diabetes type 2, former smoker, dyslipidemia.
 
•Medical history : ischemic heart disease with PCI, PAD with aorto bifemoral bypass, aortic valvular prothesis, chronic renal failure.
 
•Clinical symptoms : left lower limb intermittent claudication stage 2b
 
•Biological parameters : serum creatinine 21,4mg/L.
 
•On going treatement : aspirin, Fluindione, atenolol, atorvastatine, insulin, furosemide.

Strategy

1.Antegrade approach under echography

2.Intra luminal or sub intimal angioplasty

3.Discussion and selection of stents

4.Duration of DAPT (Anticoagulant)

Diagnostic images

 

 

 
 
 
 
 

 

 

Shooting date : 2016-07-13
Last update : 2021-06-09
Max Amor
Essey-lès-Nancy, France
Koen Deloose
Dendermonde, Belgium
Thomas Zeller
Bad Krozingen, Germany
2 comments
Join the Discussion
  • Popeski P. .

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    • gerson U. Could you kindly elaborate why this case was not possible to do an open bypass for?

        Please, select your files, click upload button, write your comment and click the send button. (allowed formats : images jpeg, gif, png, and PDF)
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