title: Direct puncture of the prosthetic bypass graft in the treatment of critical limb ischemia patient undergoing prior axillo-femoral bypass.
abstract: A 76-year-old man presented with a non-healing ischemic ulceration of the left foot. He had undergone left axillo-femoral bypass surgery 4 years previously. Diagnostic angiography showed total occlusion from the left common iliac to the common femoral artery and the anterior and posterior tibial artery as well as severe stenosis of the superficial femoral and peroneal artery. Because there were no other access sites except for the axillo-femoral bypass graft, we performed endovascular therapy (EVT) by direct puncture of this bypass graft. Here, we have described the utility of direct puncture of axillo-femoral prosthetic bypass graft for EVT of the infrainguinal arteries.
authors.affiliation: Division of Cardiology, Department of Internal Medicine, Yokohama Sakae Kyosai Hospital, Federation of National Public Service Personnel Mutual Associations, 132 Katsura-cho, Sakae-ku, Yokohama, Japan. hiromasa_im2_m@yahoo.co.jp
authors.forename: Hiromasa
authors.initials: H
authors.lastname: Katoh
authors.forename: Tsuyoshi
authors.initials: T
authors.lastname: Nozue
authors.forename: Ichiro
authors.initials: I
authors.lastname: Michishita
mesh_terms: D000368:Aged; D000792:Angiography; D001366:Axillary Artery / Q000637:transplantation*; D003251:Constriction, Pathologic / Q000601:surgery*; D057510:Endovascular Procedures / Q000379:methods*; D005263:Femoral Artery / Q000637:transplantation*; D005528:Foot / Q000098:blood supply*; D016523:Foot Ulcer / Q000601:surgery*; D006801:Humans; D007511:Ischemia / Q000601:surgery*; D008297:Male; D011677:Punctures / Q000379:methods*; D016896:Treatment Outcome