Abstract

VIEIRA, Mário et al. Total femoropopliteal subintimal recanalization after infra-popliteal bypass failure: Femoropopliteal Rethinking strategies. Angiol Cir Vasc [online]. 2015, vol.11, n.4, pp.230-234. ISSN 1646-706X.

Objective: Presentation of a clinical case with below the knee bypass failure treated by a total Femoropopliteal recanalization and stenting. Material and Methods: It is presented a patient with history of two previous femoropopliteal bypass with prosthetic graft, admitted by acute occlusion and severe ischemia. After chemical and mechanical bypass thrombectomy failure, without venous conduit available, with good infra-popliteal outflow, patient was submitted to total femoropopliteal endovascular recanalization. Results: An anterograde total subtintimal recanalization was performed, with intraluminal reentrance in the distal popliteal artery, and 3 stents implantation. There was no final stenosis observed, with good stent inflow and outflow. Conclusion: The new endovascular devices with highly flexibility and resistance allowed a notorious transformation of the therapeutic strategies, with excellent patency rates.

Keywords : Femoropopliteal bypass failure; Subintimal recanalization; Supera^® stent.

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