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.

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

Metadata
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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
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