Case Introduction A Long Segment Sfa Cto Tctmd

Case Introduction A Long Segment Sfa Cto Tctmd Case conclusion: how i treated a long segment sfa cto presenter: beau hawkins more slides advertisement. Serranator was chosen to maximize luminal gain while minimizing dissection risk, particularly important in this long segment stenosis with chronic total occlusion (cto) where no suitable vein was available for bypass.

Long Segment Sfa Cto In A Claudicant Tctmd We present the case of an 81 year old female with flush occlusion of the superficial femoral artery (sfa) and percutaneous transluminal angioplasty. initially, the antegrade approach failed due to flush occlusion without stump. “the wingman was indispensable in helping us cross this 300mm sfa cto in nine minutes from a primary pedal route, all while staying true lumen,” said dr. rao. “it allowed us to perform atherectomy and stenting, resulting in a polyphasic flow in the common plantar artery after the case.”. We describe a rarely practiced art of antegrade puncture of sfa for revascularization of femoropopliteal ctos which will give the budding young interventionists comfort in maneuvering hardwires across a long segment cto. The most common findings on both duplex and cta imaging was mid segment occluded sfa (36.7%), followed by long segment sfa. notably, 5 patients (16.7%) showed flush sfa in cta.

Case Presentation Long Segment Sfa Occlusion Tctmd We describe a rarely practiced art of antegrade puncture of sfa for revascularization of femoropopliteal ctos which will give the budding young interventionists comfort in maneuvering hardwires across a long segment cto. The most common findings on both duplex and cta imaging was mid segment occluded sfa (36.7%), followed by long segment sfa. notably, 5 patients (16.7%) showed flush sfa in cta. Long segment sfa stenosis with cto treated with serranator® and dcb in a patient with forefoot dry gangrene by richard t. rogers, md, rpvi, and shiv patel, do. Sfa lesions are often diffuse and severe, typically classified as tasc ii c or d, making endovascular treatment challenging. in our group, sfa recanalization was achieved in all patients, demonstrating a promising success rate for transpopliteal recanalization of sfa cto lesions. Femoropopliteal artery disease accounts for a large proportion of peripheral artery endovascular interventions. chronic total occlusions are highly prevalent in this vascular bed and pose a technical challenge for crossing and intervention. In our case, the mid sfa puncture combined with thewire rendezvous technique provided a simple, effective solution for long segment sfa occlusion recanalization without the need for tibial access or complex reentry devices.