Page 54 - Virtual Vascular Vol 10
P. 54

Percutaneous mechanical thrombectomy                                                                                                                                                            Antegrade puncture of the
                                                                                                                                                                                                   left common femoral artery
                                                                                                                                                                                                   was done. Angiogram of the
                                                                                                                                                                                                   left leg revealed mid- to

                                                                                                                                                                                                   distal SFA and above knee
                    68 year old female presented with rest pain of the left leg                                                                                                                    popliteal artery totally

                                                                                                                                                                                                   occluded.

                                                                                                                                                                                                   Early formation of collateral
                                                                                                                                                                                                   vessels can be seen


































                                                                                                                                                                                                   Operative treatment was a
                                                                                                                                                                                                   percutaneous mechanical
                                                                                                                                                                                                   thrombectomy via the Rotarex

                                                                                                                                                                                                   system








      On physical examination the left foot                          Arterial duplex of the left leg
      was pale, cool to touch and had tissue                         revealed  an occluded distal
      loss on the 5 th toe. Popliteal, dorsalis                      superficial femoral artery with low

      pedis and posterior tibial pulses were                         echogenicity plaque suspicious of
      absent on the left.                                            emboli













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