APLICATION OF MODIFIED TECHNIQUE OF RETROANTEGRADE CATHETERIZATION OF THE SUPERFICIAL FEMORAL ARTERY

  • Ricardo Gouveia Centro Hospitalar Vila Nova de Gaia/ Espinho, Serviço de Angiologia e Cirurgia Vascular
  • Pedro Brandão Centro Hospitalar Vila Nova de Gaia/ Espinho, Serviço de Angiologia e Cirurgia Vascular
  • Pedro Sousa Centro Hospitalar Vila Nova de Gaia/ Espinho, Serviço de Angiologia e Cirurgia Vascular
  • Jacinta Campos Centro Hospitalar Vila Nova de Gaia/ Espinho, Serviço de Angiologia e Cirurgia Vascular
  • Andreia Coelho Centro Hospitalar Vila Nova de Gaia/ Espinho, Serviço de Angiologia e Cirurgia Vascular
  • Rita Augusto Centro Hospitalar Vila Nova de Gaia/ Espinho, Serviço de Angiologia e Cirurgia Vascular
  • Nuno Coelho Centro Hospitalar Vila Nova de Gaia/ Espinho, Serviço de Angiologia e Cirurgia Vascular
  • Alexandra Canedo Centro Hospitalar Vila Nova de Gaia/ Espinho, Serviço de Angiologia e Cirurgia Vascular
Keywords: Endovascular technique, Catheter, Peripheral arterial disease

Abstract

Although the femoral antegrade access is the ideal approach for endovascular treatment of infra-inguinal occlusive disease, there are situations where this is not feasible. And how to solve the problem of an approach when, after a retrograde femoral puncture for a diagnostic angiography, we intend to treat endovascularly the infra-inguinal sector of the punctured side? To apply an inversion technique of a retrograde access is a viable alternative. We present the case of a patient undergoing arteriography due to bilateral critical ischemia that, after being submitted to a diagnostic angiography through a retrograde femoral access, underwent a maneuver for conversion of the access to antegrade by a catheter- suported technique that enabled the treatment of the femoropopliteal ipsilateral sector.

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References

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Published
2017-11-19
Section
Clinical Case

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