Endovascular Revascularization of Superficial Femoral Artery Stent Occlusion by Combined Retrograde Access With Catheter-Directed Thrombolysis and Pharmaco-Mechanical Thrombectomy

Muhammad Baig; Hafiz M Imran; Herbert D Aronow; Omar N Hyder

doi:10.1016/j.carrev.2019.10.027

Endovascular Revascularization of Superficial Femoral Artery Stent Occlusion by Combined Retrograde Access With Catheter-Directed Thrombolysis and Pharmaco-Mechanical Thrombectomy

Cardiovasc Revasc Med. 2020 Nov;21(11S):174-179. doi: 10.1016/j.carrev.2019.10.027. Epub 2019 Oct 30.

Authors

Muhammad Baig¹, Hafiz M Imran², Herbert D Aronow², Omar N Hyder²

Affiliations

¹ Department of Medicine, Division of Hospitalist Medicine, Miriam Hospital and Alpert Medical School of Brown University, Providence, RI, USA. Electronic address: Muhammad_baig@brown.edu.
² Department of Medicine, Division of Cardiology, Miriam Hospital and Alpert Medical School of Brown University, Providence, RI, USA.

PMID: 31704160
DOI: 10.1016/j.carrev.2019.10.027

Abstract

We report a case of a patient with history of peripheral arterial disease who presented to the hospital with critical limb ischemia. We performed endovascular revascularization of stent thrombosis in superficial femoral artery (SFA), by retrograde pedal access with wire exteriorization. This case highlights the utility of retrograde pedal access in failed antegrade approach of culprit lesion in SFA and the effectiveness of multimodal endovascular thrombectomy to restore blood flow in patients who are otherwise not suitable for surgical interventions.

Keywords: Endovascular; Retrograde; SFA; Thrombectomy; Thrombolysis.

Publication types

Case Reports

MeSH terms

Catheters
Endovascular Procedures*
Femoral Artery
Humans
Ischemia
Peripheral Arterial Disease*
Stents
Thrombectomy
Thrombolytic Therapy
Treatment Outcome