Endovascular recanalization techniques for popliteal arterial occlusive injury with limb-threatening ischemia secondary to trauma.
To date, no ideal endovascular strategy has been established for traumatic arterial occlusion. Here, we report the outcomes of a combination of endovascular recanalization techniques applied in two patients with high risk of leg amputation. A 33-year-old man with popliteal artery occlusion due to blunt trauma was treated by balloon angioplasty with long inflation time and aspiration thrombectomy. A 74-year-old woman with popliteal artery occlusion after total knee replacement was treated by aspiration thrombectomy and stent placement. In both cases, we achieved satisfactory recanalization, and peripheral ischemia was absent even 1 year later.
Department of Radiology, Nippon Medical School, Tokyo, Japan.
Takahiko
T
Mine
Department of Radiology, Nippon Medical School, Tokyo, Japan.
Satoru
S
Murata
Department of Radiology, Nippon Medical School, Tokyo, Japan.
Daisuke
D
Yasui
Center for Minimally Invasive Treatment, Nippon Medical School Musashikosugi Hospital, Kanagawa, Japan.
Hiroyuki
H
Tajima
Department of Radiology, Nippon Medical School, Tokyo, Japan.
Hiroshi
H
Kawamata
Department of Emergency and Critical Care Medicine, Nippon Medical School, Tokyo, Japan.
Hiroyuki
H
Yokota
Department of Radiology, Nippon Medical School, Tokyo, Japan.
Shin-Ichiro
S
Kumita
Interventional radiology; angioplasty; endovascular recanalization; extremity arterial injury; occlusive arterial injury; popliteal arterial injury