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Description
Shooting date : 2018-03-23
Last update : 2019-02-26
Language(s) : English
Male, 83 y-o,
  • Type 2 diabetes, Ischemic heart disease (PTCA) and dyslipidemia.
  • Left Critical limb ischemia. Pre...
Male, 83 y-o,
  • Type 2 diabetes, Ischemic heart disease (PTCA) and dyslipidemia.
  • Left Critical limb ischemia. Previous amputation of the V toe. Rest pain and TcPO2: 11 mmHg.
  • Previous antegrade attempt to treat ATA, fails.
  • Retrograde access followed by ante-retro
Strategy:
  • Antegrade 6F access. 
  • Distal AT retrograde access (micro-punture set – CXI support catheter), endoluminal-subintimal recanalization of AT.
  • Hydro ST guide wire. Advance LP Balloon PTA at 2.5-3 mm.
  • PTA of SFA and POP 5 mm.

 

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