Successful carbon dioxide angiography guided endovascular thrombectomy of the superficial femoral artery in a young patient with critical limb ischemia.
Currently, the treatment of thromboembolic ischemia of the lower extremities includes percutaneous rotational thrombectomy and aspiration devices. However, the standard approach for endovascular treatment requires the administration of iodine contrast agents, which is problematic in patients with pre-existing renal disease and diabetes. Herein, we describe a case of a CO2angiography guided endovascular thrombectomy of the superficial femoral artery (SFA) in a young patient with critical limb ischemia. Mechanical thrombectomy using the Rotarex system, catheter aided aspiration and subsequent stent placement in the SFA was entirely guided using CO2angiography.
Department of Cardiology and Vascular Medicine, GRN Hospital Weinheim, Roentgenstrasse 1, 69469, Weinheim, Germany. soringiusca@gmail.com.
Sorin
S
Giusca
Department of Cardiology and Vascular Medicine, GRN Hospital Weinheim, Roentgenstrasse 1, 69469, Weinheim, Germany.
Tom
T
Eisele
Department of Gastroenterology and Diabetology, GRN Hospital Weinheim, Roentgenstrasse 1, 69469, Weinheim, Germany.
Dorothea
D
Raupp
Department of Gastroenterology and Diabetology, GRN Hospital Weinheim, Roentgenstrasse 1, 69469, Weinheim, Germany.
Christoph
C
Eisenbach
Department of Cardiology and Vascular Medicine, GRN Hospital Weinheim, Roentgenstrasse 1, 69469, Weinheim, Germany. gkorosoglou@hotmail.com.
Grigorios
G
Korosoglou
D000792:Angiography; D002245:Carbon Dioxide; D057785:Catheters; D005263:Femoral Artery / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D007511:Ischemia / Q000000981:diagnostic imaging* / Q000601:surgery*; D023821:Limb Salvage / Q000379:methods; D035002:Lower Extremity / Q000098:blood supply; D008297:Male; D008875:Middle Aged; D015607:Stents; D017131:Thrombectomy / Q000379:methods*; D016896:Treatment Outcome
D002245:Carbon Dioxide
Carbon dioxide angiography; Renal failure; Rotarex catheter; Self-expanding nitinol stent; Thrombectomy thrombus aspiration
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