Management of a "saddle" embolus at the popliteal bifurcation by a variation of the "push and park" approach. A case report.
We present a modification of a previously reported endovascular technique where a large embolus was "pushed and parked" into a diseased artery. A saddle embolus at the bifurcation of the popliteal artery, which occurred as a complication after a percutaneous subintimal recanalization, was pushed and parked into the tibio-peroneal trunk. This was achieved using 2 balloon catheters, one to disengage the embolus from the anterior tibial artery, and the other to push the embolus into the tibio-peroneal trunk, thus establishing flow into the anterior tibial artery. Pushing and parking an embolus into a less useful vessel when all attempts at catheter embolectomy have failed is a simple and quick method which should be borne in mind by all vascular interventionalists.
Papavassiliou
V G
VG
Department of Vascular Surgery, Leicester Royal Infirmary, Leicester, UK. papavass@hotmail.com
Bell
P R F
PR
Bolia
A
A
D000368:Aged; D000369:Aged, 80 and over; D000800:Angioplasty, Balloon / Q000379:methods*; D004617:Embolism / Q000628:therapy*; D005260:Female; D006801:Humans; D011150:Popliteal Artery; D016896:Treatment Outcome