Transpedal approach for iliac artery intervention: A rare case report

Year 2019, Volume: 5 Issue: 1, 1430 - 1435, 15.04.2019

Hakan Kaya

https://doi.org/10.30569/adiyamansaglik.488010

Abstract

Achieving
arterial blood flow again is the main priority for the patients having critical
foot ischemia in terms of protecting foot. In recent years, more operations
have been done to save foot with the increase in cardiovascular techniques and
skills. Antegrade attempts in foot artery occlusion result in failure
approximately by %20. Retrograde approaches are usually applied to the
popliteal and infrapopliteal arteries. Very rarely, retrograde approach is
applied in femoral artery occlusions. In this case, a very rare case provided
with successful recanalization through a retrograde approach for a patient
having fully clogged arteries from  right
external iliac artery outlet  to popliteal
artery  is presented.

Keywords

iliac artery disease, transpedal approach

İliak arter girişimi için transpedal yaklaşım: Nadir bir olgu sunumu

Abstract

Arteryel kan akımının yeniden
sağlanması, ayak koruyucu olarak kritik ayak iskemisi olan hastaların başlıca
önceliğidir. Son yıllarda, kardiyovasküler teknik ve becerilerdeki artışla ayak
korumak için daha fazla operasyon yapılmıştır. Ayak arter tıkanıklığında
antegrad girişimler, yaklaşık% 20 oranında başarısızlığa neden olur. Retrograd
yaklaşımlar ise genellikle diz ve diz altı arter tıkanıklıklarında uygulanır.
Çok seyrek olarak femoral arter tıkıanıklıklarında da retrograd yaklaşım
uygulanır. Bu vakada ise sağ external  iliak
arter çıkışından başlayıp popliteal artere kadar uzanan  tamamen  tıkanmış arter segmentine  sahip bir hastada  retrograd yaklaşımla başarılı bir rekanalizasyonun
sağlandığı çok daha nadir bir olgu sunulmaktadır.

Keywords

iliak arter hastalığ, transpedal yaklaşım

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