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    Salvage of critical limb ischemia with the "trellis reserve'' of subintimal superficial femoral-popliteal artery occlusion: a new modality in managing critical limb ischemia--a case report.

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    Authors
    Sultan, Sherif
    Heskin, Leonie
    Hynes, Niamh
    Akhtar, Yousaf
    Cough, Val
    Manning, Brian
    Aremu, M
    Courtney, D
    Affiliation
    Western Vascular Institute, Department of Vascular and Endovascular Surgery, University College Hospital Galway, Ireland. sherifsultan@esatclear.ie
    Issue Date
    2005
    MeSH
    Aged
    Angioplasty
    Angioplasty, Balloon
    Arterial Occlusive Diseases
    Critical Illness
    Female
    Femoral Artery
    Fibrinolytic Agents
    Follow-Up Studies
    Humans
    Ischemia
    Leg
    Magnetic Resonance Angiography
    Popliteal Artery
    Risk Assessment
    Salvage Therapy
    Thrombectomy
    Treatment Outcome
    Ultrasonography, Doppler
    Vascular Patency
    Show allShow less
    
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    Citation
    Salvage of critical limb ischemia with the "trellis reserve'' of subintimal superficial femoral-popliteal artery occlusion: a new modality in managing critical limb ischemia--a case report., 39 (6):531-5 Vasc Endovascular Surg
    Publisher
    Vascular and endovascular surgery
    Journal
    Vascular and endovascular surgery
    URI
    http://hdl.handle.net/10147/304786
    PubMed ID
    16382275
    Abstract
    Subintimal angioplasty is a safe, effective, but nondurable procedure in treating long superficial femoral artery occlusions in patients with severe lower limb ischemia. The authors report a case of acute thrombosis that presented 16 weeks after subintimal angioplasty. The ;;Trellis'' percutaneous thrombolytic infusion system permitted a controlled site-specific infusion of recombinant tissue-type plasminogen activator (rtPA). The unique design of the ;;Trellis'' allowed complete aspiration of thrombus and avoiding regional and systemic thrombolytic side effects. The ;;Trellis'' system is effective in percutaneous management of thrombotic lesions; however, intimal dissection may need to be addressed.
    Item Type
    Article
    Language
    en
    ISSN
    1538-5744
    Collections
    Galway University Hospitals

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