title: Endovascular therapy with novel high anterior tibial artery puncture for limb salvage in a case of critical lower limb ischemia.
abstract: A 76-year-old woman was referred to our hospital with a non-healing ulcer and intractable rest pain. Diagnostic angiography revealed total occlusion of long iliac (from right common iliac artery to common femoral artery) and femoropopliteal [from superficial femoral artery (SFA) to popliteal artery] TASC D lesions. The iliac lesion was successfully treated with implantation of two nitinol stents. However, because of severe calcification, the SFA lesion could not be crossed with an antegrade approach alone and a retrograde approach from the high anterior tibial artery was, therefore, added. After wire crossing, the SFA lesion was stented directly followed by balloon dilation. Five months after endovascular treatment, the ulcer had healed completely thereby avoiding major amputation.
authors.affiliation: Cardiovascular Center, Kansai Rosai Hospital, 3-1-69 Inabaso, Amagasaki, Hyogo, 660-8511, Japan, ryukyu0288@yahoo.co.jp.
authors.forename: Takuma
authors.initials: T
authors.lastname: Iida
authors.forename: Osamu
authors.initials: O
authors.lastname: Iida
authors.forename: Shin
authors.initials: S
authors.lastname: Okamoto
authors.forename: Tomoharu
authors.initials: T
authors.lastname: Dohi
authors.forename: Kiyonori
authors.initials: K
authors.lastname: Nanto
authors.forename: Masaaki
authors.initials: M
authors.lastname: Uematsu
mesh_terms: D000368:Aged; D000792:Angiography; D001157:Arterial Occlusive Diseases / Q000601:surgery*; D057510:Endovascular Procedures / Q000379:methods*; D005260:Female; D005263:Femoral Artery / Q000000981:diagnostic imaging / Q000601:surgery; D016523:Foot Ulcer; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging / Q000601:surgery; D007511:Ischemia / Q000601:surgery*; D023821:Limb Salvage / Q000379:methods*; D035002:Lower Extremity / Q000098:blood supply*; D018810:Magnetic Resonance Angiography; D011150:Popliteal Artery / Q000000981:diagnostic imaging / Q000601:surgery; D011677:Punctures / Q000379:methods*; D016909:Tibial Arteries / Q000601:surgery*