Subintimal recanalization of the femoropopliteal segment to promote healing of an ulcerated below-knee amputation stump.
OBJECTIVE
To describe the use of the subintimal technique to revascularize an ulcerated below-knee amputation stump.


METHODS
A 64-year-old man with persistent ulceration of a below-knee amputation stump underwent attempted percutaneous revascularization. Via antegrade puncture, the femoropopliteal occlusion was recanalized subintimally and eventually opened into a large medial geniculate collateral branch, improving the stump flow. The procedure was uneventful, and at 6 months, the patient was pain-free and able to mobilize with his prosthetic limb.


CONCLUSIONS
Subintimal revascularization of a critically-ischemic below-knee amputation stump may be a useful option and should be considered in clinical situations like this.
Karkos
Christos D
CD
Department of Vascular & Endovascular Surgery, Leicester, UK. ckarkos@hotmail.com
Bright
Elizabeth
E
Bolia
Amman
A
London
Nicholas J M
NJ
D000671:Amputation, Surgical; D000672:Amputation Stumps / Q000098:blood supply*; D000800:Angioplasty, Balloon / Q000379:methods; D001157:Arterial Occlusive Diseases / Q000000981:diagnostic imaging / Q000628:therapy*; D005263:Femoral Artery / Q000000981:diagnostic imaging; D006801:Humans; D007717:Knee / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011150:Popliteal Artery / Q000000981:diagnostic imaging; D011859:Radiography; D016896:Treatment Outcome; D014456:Ulcer / Q000628:therapy*