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A complete endovascular revascularisation of atherothrombotic occlusion of popliteal artery and below-the-knee arteries in a polymorbid patient – a case report


Authors: M. Válka 1;  L. Puszkailer 2;  D. Kučera 1,3;  J. Bezecný 1;  J. Kozák 1;  D. Maděřič 1;  J. Krátký 1;  V. Jetmar 1;  D. Boháčová 4
Authors‘ workplace: Vaskulární centrum, Vítkovická nemocnice a.  s., Ostrava 1;  Chirurgicko-traumatologické oddělení, Středomoravská nemocniční a.  s. – Nemocnice Šternberk 2;  II. interní klinika kardiologie a angiologie 1. LF UK a VFN v Praze 4 Angiologie Opava s.  r.  o. 3
Published in: Kardiol Rev Int Med 2016, 18(3): 191-194

Overview

We present a complete endovascular revascularisation of an atherothrombotic occlusion of the popliteal artery (APo) and below-the-knee arteries in a polymorbid patient, using several endovascular techniques, specifically local continual pharmacological thrombolysis, mechanical thrombectomy (Rotarex), aspiration thrombectomy and PTA of the below-the-knee arteries with stent deployment.

Keywords:
local thrombolysis – drug-coated balloon angioplasty – drug-eluting stenting


Sources

1. Schmidt A, Piorkowski M, Görner H et al. Drug-coated balloons for complex femoropopliteal lesions: 2-year results of a real-world registry. JACC Cardiovasc Interv 2016; 9: 715–724. doi: 10.1016/j.jcin.2015.12.267.

2. Jaff MR, Rosenfield K, Scheinert D et al. Drug-coated balloons to improve femoropopliteal artery patency: rationale and design of the LEVANT 2 trial. Am Heart J 2015; 169: 479–485. doi: 10.1016/j.ahj.2014.11.016.

3. Mosquera Arochena NJ. Drug eluting stents remain the golden standard for below-the-knee occlusive disease. J Cardiovasc Surg (Torino) 2016; 57: 677–682.

Labels
Paediatric cardiology Internal medicine Cardiac surgery Cardiology

Article was published in

Cardiology Review

Issue 3

2016 Issue 3

Most read in this issue
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