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, SherifHeskin, 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.ieIssue Date
2005MeSH
AgedAngioplasty
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
Metadata
Show full item recordCitation
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 SurgPublisher
Vascular and endovascular surgeryJournal
Vascular and endovascular surgeryPubMed ID
16382275Abstract
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
ArticleLanguage
enISSN
1538-5744Collections
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