Successful endovascular treatment of chronic total occlusion of superficial femoral artery using retrograde approach from deep femoral artery

Fukushima J Med Sci. 2014;60(1):43-6. doi: 10.5387/fms.2013-19. Epub 2014 Jul 15.

Abstract

An 82 years-old man with intermittent claudication was admitted to our hospital. Computed tomography angiography showed his right superficial femoral artery (SFA) was chronic total occlusion (CTO), and we performed endovascular treatment (EVT). We advanced a guide-wire by contralateral transfemoral approach, but guide-wires could not penetrate the occluded SFA lesion antegradely. Thus, we tried to approach the CTO lesion retrogradely. A guide-wire passed through the collateral channel from deep femoral artery (DFA) to distal SFA. With a reverse-controlled antegrade and retrograde subintimal tracking (CART) technique, we were able to pass the CTO lesion. Finally two SMART stents were implanted. We experienced a case in which retrograde approach via collateral channel from DFA was effective to CTO of SFA.

Publication types

  • Case Reports

MeSH terms

  • Aged, 80 and over
  • Angiography
  • Angioplasty, Balloon
  • Arterial Occlusive Diseases / diagnostic imaging
  • Arterial Occlusive Diseases / surgery*
  • Endovascular Procedures / methods*
  • Femoral Artery / diagnostic imaging
  • Femoral Artery / surgery*
  • Humans
  • Male
  • Stents
  • Tomography, X-Ray Computed