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Shooting date : 2016-12-05 Last update : 2018-01-31
Language(s) : English
Views : 23304
This 18 minutes didactic procedure concerns a 78 years old male with extremely severe peripheral artery disease: a Left limb amputatio...
This 18 minutes didactic procedure concerns a 78 years old male with extremely severe peripheral artery disease: a Left limb amputation and a Right limb trophic ulcer. He presents Three right consecutive artery occlusions: Mid-SFA, Popliteal, proximal and distal posterior tibial.
This extremely complex case was treated using different technics according to the arterial segment: Sub intimal angioplasty and long stenting for SFA, Drug coated balloon for Popliteal, DES for proximal posterior tibial and coronary technics for plantar arteries.
Right Antegrade femoral access
Pre-procedure discussion of strategy for a multilevel artery occlusion
Guide wire selection and escalation for crossing
Support micro-catheter selection
Pre-dilatation of more than 50cm with low profile long balloon
Technics to re--enter in foot arteries
DES for distal leg arteries
DCB for popliteal artery
Self-expandable drug eluting stent for dissection and residual stenosis of SFA
Selection and feasibility of antegrade femoral access
Guide Wire and micro-catheter selection for multilevel crossing
Balloon angioplasty with low profile long balloons
Technics to re-enter in plantar artery
Use of DCB (Drug Coated Balloon) for popliteal artery