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Revista Cubana de Angiología y Cirugía Vascular
On-line version ISSN 1682-0037
Abstract
SOSA VAZQUEZ, Onerys Ramón et al. Percutaneous Transluminal Angioplasty of the Superficial Femoral Artery in a Patient with Occlusion in the femoro-popliteal and infra-popliteal Sector. Rev Cubana Angiol Cir Vasc [online]. 2020, vol.21, n.1 Epub May 20, 2020. ISSN 1682-0037.
Introduction:
The clearest indication for revascularization in lower limbs is the presence of ischemic lesions. The treatment of choice, whenever possible, is the endovascular one, due to its good permeability, as well as low morbidity and mortality.
Objective:
To present a case in which percutaneous transluminal angioplasty of the femoro-popliteal sector.
Case presentation:
A case is presented with a diagnosis of peripheral arterial disease in the right lower limb. The percutaneous transluminal angioplastywas used to heal ischemic lesions even in the presence of nonrevascularizable occlusions of the infra-popliteal arteries. On physical examination, the patient presented an ischemic lesion on the first finger and a femoro-popliteal steno-occlusive pattern. Decrease in pressure indices was detected in the popliteal and the distal ones. Arteriography showed steno-occlusive lesions in the superficial femoral and occlusion of the infra-popliteal arteries. Percutaneous transluminal angioplasty of the superficial femoral artery was performed and the patient recovered the popliteal pulse with hemodynamic improvement. The patient evolved satisfactorily and was discharged with medical treatment. Five months after surgery, the patient maintains popliteal pulse and the lesion has cicatrized.
Conclusion:
Angioplasty of the femoro-popliteal sector prove beneficial for the healing of the ischemic lesion even in the presence of nonrevascularizable infra-popliteal occlusions.
Keywords : peripheral arterial disease; critical ischemia; percutaneous transluminal angioplasty.