Occlusion of Common Iliac Artery as an Unexpected Complication Following Angioplasty via Retrograde Popliteal Access: A Case Report

Öz

Treatment of the lesions located in the popliteal artery and superficial femoral artery are potentially clinical challenge because of the long length of lesions, high- calcium content in the vessel wall and inside the plaques, and individual dynamic forces found within these vessels. Intraluminal or subintimal recanalization of the vessel lumen is achieved mostly by ipsilateral antegrade or contralateral retrograde femoral approach in the treatment of total occlusion of the superficial femoral artery. In the event of failure, retrograde access into the popliteal artery is considered as an essentially different method. In our case report, we aimed to present rescue retrograde popliteal intervention following an unsuccessful antegrade approach which resulted in an unexpected atherothrombotic complication that occurred in the common iliac artery of the contralateral site.

Anahtar Kelimeler

• atherothrombosis
• peripheral arterial disease
• retrograde popliteal intervention

Anjioplasti Sonrası Ana İliak Arterde Meydana Gelen Beklenmedik Okluzyonun Retrograd Popliteal Yaklaşımla Tedavisi: Vaka Sunumu

Öz

Yüzeyel femoral ve popliteal arterlerdeki ciddi lezyonların tedavisinde lezyonların uzunluğu, lokalizasyonu ve plak yapısındaki ya da damar duvarındaki yüksek kalsiyum içeriği nedeniyle uygulanacak strateji her vakada bireysel farklılık göstermektedir. Yüzeyel femoral arter okluzyonlarının tedavisinde ipsilateral antegrad ya da kontralateral retrograd yaklaşım sık kullanılmakla birlikte özellikle bu tedavi seçeneklerinin başarılı olmadığı durumlarda retrograd popliteal girişim de alternatif olarak kullanılabilmektedir. Bu vaka sunumunda, antegrad yaklaşımın başarısız olması üzerine popliteal arter yoluyla retrograd yaklaşımın başarılı bir şekilde uygulandığı ancak işlem sonrası karşı taraf ana iliak arterde gerçekleşen beklenmedik aterotrombotik komplikasyon ve başarılı çözümü takdim edilmiştir.

Anahtar Kelimeler

• aterotromboz
• periferik arter hastalığı
• retrograd popliteal girişim

Kaynakça

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