title: Retrograde rotablator in limb salvage: a new technique using an open approach.
abstract: Conventional vascular surgery and balloon angioplasty have poor results in severe and diffuse atherosclerotic disease of the infrapopliteal arteries. High-speed rotational atherectomy (Auth Rotablator) has not succeeded either, because of poor long-term patency and the non-reflow phenomenon. We report a case of limb salvage with long occlusion of the three infrapopliteal vessels. The anterior tibial artery was treated with retrograde Auth Rotablator atherectomy by an open approach through the pedal artery, resulting in full patency of the anterior tibial artery and healing of the skin lesions. The microparticulate debris from the ablation was drained out through the pedal arteriotomy, avoiding the complications associated with conventional antegrade high-speed rotational atherectomy.
authors.affiliation: Hospital Nacional Alejandro Posadas, Illia s/n y Marconi, El Palomar (1706), Pcia de Buenos Aires, Argentina.
authors.forename: Alberto
authors.initials: A
authors.lastname: Tamashiro
authors.forename: Miguel
authors.initials: M
authors.lastname: Villegas
authors.forename: Gustavo
authors.initials: G
authors.lastname: Tamashiro
authors.forename: Daniel
authors.initials: D
authors.lastname: Enterrios
authors.forename: Andrés
authors.initials: A
authors.lastname: Dini
authors.forename: Aristóbulo
authors.initials: A
authors.lastname: Balestrini
authors.forename: José A
authors.initials: JA
authors.lastname: Diaz
mesh_terms: D000368:Aged; D000792:Angiography; D017073:Atherectomy; D050197:Atherosclerosis / Q000628:therapy*; D005260:Female; D006801:Humans; D007866:Leg / Q000098:blood supply*; D023821:Limb Salvage