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Live Case #5: Distal AT and foot Recanalization in Ca++

Dr Manzi & Dr Micari

Endovascular / Lower limbs / Btk-bta / Case in the box

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C.N..58 y gentleman

Type 2 DM, Dyslipidemia, Hypertension;
TUC 2 C IV-V,
TcPO2 =11mmHgDM,
Previous SFA stenting (2001), re-treated with Directional Atherectomy for IS restenosis 2017 .
AT DEB + arch and lateral plantar POBA November 2017 -> TcPO2 58 mmHg.
Reocclusion and clinical recurrence.

Strategy

Target: AT, Pedal Arch and Plantars
Antegrade US guided 6F Terumo Sheath;
Navicross + Command ES intraluminal/ subintimal;
Predilatation 1.5-2.5/3mm;
Debulking + DEB if intraluminal;
If failure: Foot retrograde and Rendez-Vous;
US guided Angio-Seal 6F deployment;

Shooting date : 2018-03-23
Last update : 2021-06-09

Marco Manzi

Abano Terme, Italy

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Antonio Micari

Messina, Italy

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Live Case #5: Distal AT and foot Recanalization in Ca++

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