Page 55 - Virtual Vascular Vol 10
P. 55

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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