Korean Circulation Journal

The Korean Society of Cardiology (대한심장학회)
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Retrograde Distal Superficial Femoral Artery Approach in the Supine Position for Chronic Superficial Femoral Artery Occlusion

  • Shin, Sanghoon (Division of Cardiology, Severance Cardiovascular Hospital, Yonsei University Health System, Yonsei University College of Medicine) ;
  • Kim, Seunghwan (Division of Cardiology, Severance Cardiovascular Hospital, Yonsei University Health System, Yonsei University College of Medicine) ;
  • Ko, Young-Guk (Division of Cardiology, Severance Cardiovascular Hospital, Yonsei University Health System, Yonsei University College of Medicine) ;
  • Hong, Myeung-Ki (Division of Cardiology, Severance Cardiovascular Hospital, Yonsei University Health System, Yonsei University College of Medicine) ;
  • Jang, Yangsoo (Division of Cardiology, Severance Cardiovascular Hospital, Yonsei University Health System, Yonsei University College of Medicine) ;
  • Choi, Donghoon (Division of Cardiology, Severance Cardiovascular Hospital, Yonsei University Health System, Yonsei University College of Medicine)
  • Received : 2012.10.11
  • Accepted : 2013.01.09
  • Published : 2014.03.30
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Abstract

Subintimal angioplasty is an effective method for the treatment of long superficial femoral artery (SFA) occlusions. One of the major limiting factors for the success of this procedure is the failure to re-enter the true lumen. The recently introduced luminal re-entry devices provide a high technical success rate, but failures can occur. In such cases, a retrograde popliteal approach can serve as a potential backup option. However, the need to reposition the patient remains a drawback. Here, we report a case of an 81-year-old male with a long SFA occlusion treated using a retrograde distal SFA approach in the supine position after the initial failure of antegrade angioplasty.

Keywords

References

  1. Ko YG, Kim JS, Choi DH, Jang Y, Shim WH. Improved technical success and midterm patency with subintimal angioplasty compared to intraluminal angioplasty in long femoropopliteal occlusions. J Endovasc Ther 2007;14:374-81. https://doi.org/10.1583/06-1983.1
  2. Spinosa DJ, Leung DA, Harthun NL, et al. Simultaneous antegrade and retrograde access for subintimal recanalization of peripheral arterial occlusion. J Vasc Interv Radiol 2003;14:1449-54. https://doi.org/10.1097/01.RVI.0000096764.74047.21
  3. Bolia A. Percutaneous intentional extraluminal (subintimal) recanalization of crural arteries. Eur J Radiol 1998;28:199-204. https://doi.org/10.1016/S0720-048X(98)00115-6
  4. Hausegger KA, Georgieva B, Portugaller H, Tauss J, Stark G. The outback catheter: a new device for true lumen re-entry after dissection during recanalization of arterial occlusions. Cardiovasc Intervent Radiol 2004;27:26-30.
  5. Casserly IP, Sachar R, Bajzer C, Yadav JS. Utility of IVUS-guided transaccess catheter in the treatment of long chronic total occlusion of the superficial femoral artery. Catheter Cardiovasc Interv 2004;62: 237-43. https://doi.org/10.1002/ccd.20051
  6. Tonnesen KH, Sager P, Karle A, Henriksen L, Jorgensen B. Percutaneous transluminal angioplasty of the superficial femoral artery by retrograde catheterization via the popliteal artery. Cardiovasc Intervent Radiol 1988;11:127-31. https://doi.org/10.1007/BF02577101
  7. Zaitoun R, Iyer SS, Lewin RF, Dorros G. Percutaneous popliteal approach for angioplasty of superficial femoral artery occlusions. Cathet Cardiovasc Diagn 1990;21:154-8. https://doi.org/10.1002/ccd.1810210306
  8. Heenan SD, Vinnicombe SJ, Buckenham TM, Belli AM. Percutaneous transluminal angioplasty by a retrograde subintimal transpopliteal approach. Clin Radiol 1994;49:824-7; discussion 827-8. https://doi.org/10.1016/S0009-9260(05)81976-2
  9. Yilmaz S, Sindel T, Ceken K, Alimog lu E, Luleci E. Subintimal recanalization of long superficial femoral artery occlusions through the retrograde popliteal approach. Cardiovasc Intervent Radiol 2001;24: 154-60. https://doi.org/10.1007/s002700001751
  10. Noory E, Rastan A, Sixt S, et al. Arterial puncture closure using a clip device after transpopliteal retrograde approach for recanalization of the superficial femoral artery. J Endovasc Ther 2008;15:310-4. https://doi.org/10.1583/07-2324.1
  11. Trigaux JP, Van Beers B, De Wispelaere JF. Anatomic relationship between the popliteal artery and vein: a guide to accurate angiographic puncture. AJR Am J Roentgenol 1991;157:1259-62. https://doi.org/10.2214/ajr.157.6.1950877
  12. Grimm J, Muller-Hulsbeck S, Jahnke T, Hilbert C, Brossmann J, Heller M. Randomized study to compare PTA alone versus PTA with Palmaz stent placement for femoropopliteal lesions. J Vasc Interv Radiol 2001;12:935-42. https://doi.org/10.1016/S1051-0443(07)61572-3

Cited by

  1. Popliteal Retrograde Approach is Effective and Safe for Superficial Femoral Artery Chronic Total Occlusion. vol.8, pp.3, 2014, https://doi.org/10.3400/avd.oa.15-00025
  2. Endovascular Treatment of Long Superficial Femoral Artery-Chronic Total Occlusions Using the Gogo Catheter With IVUS Via a Popliteal Puncture Method Is Effective, Safe, and Useful vol.54, pp.3, 2020, https://doi.org/10.1177/1538574419896735