title: Endovascular revascularization of a surgically ligated superficial femoral artery: A case report.
abstract: We present a case of a patient with left lower extremity ischemic rest pain who initially underwent surgical profundaplasty requiring ligation of his superficial femoral artery (SFA). The patient developed continued rest pain due to diffuse disease of his profunda and inadequate collaterals. Endovascular intervention was therefore performed to the oversewn SFA. Retrograde left SFA access was obtained and the origin of the SFA was recanalized with true lumen re-entry using an ultrasound guided re-entry catheter. Angioplasty was performed at the origin of the SFA and self-expanding stents were deployed in the proximal and mid left SFA. Hemostasis at the distal left SFA access site was obtained by balloon inflation at the access site and manual compression. This case illustrates the feasibility of endovascular repair of a ligated SFA.
authors.affiliation: Section of Cardiology, Denver VA Medical Center, Denver, Colorado.|Division of Cardiology, University of Colorado School of Medicine, Aurora, Colorado.
authors.forename: Kalkidan
authors.initials: K
authors.lastname: Bishu
authors.affiliation: Section of Cardiology, Denver VA Medical Center, Denver, Colorado.|Division of Cardiology, University of Colorado School of Medicine, Aurora, Colorado.
authors.forename: Ehrin J
authors.initials: EJ
authors.lastname: Armstrong
mesh_terms: D000368:Aged; D000800:Angioplasty, Balloon / Q000295:instrumentation; D003097:Collateral Circulation; D005263:Femoral Artery / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D007383:Intermittent Claudication / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery / Q000628:therapy*; D007511:Ischemia / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery / Q000628:therapy*; D008026:Ligation; D035002:Lower Extremity / Q000098:blood supply*; D008297:Male; D011859:Radiography; D012039:Regional Blood Flow; D019233:Retreatment; D015607:Stents; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional; D058017:Vascular Grafting / Q000009:adverse effects; D014654:Vascular Patency
keywords: angiography; endovascular intervention; peripheral intervention; peripheral/renal