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- Villa Maria Cecilia Hospital - Cotignola, Italy
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- Critical Limb Ischaemia - SFA and BTK Stenosis
Critical Limb Ischaemia - SFA and BTK Stenosis
- Live center: Villa Maria Cecilia Hospital - Cotignola, Italy
- Operators: Chiara GRATTONI
-
Classification:
Endovascular interventions
- Clinical presentation: Critical limb ischemia
- Specific "risks" subset: Diabetes , Ederly (>75 years)
- Sub anatomy subset: Total occlusion
- Vascular access: Femoral
- Specific technique: Drug-eluting balloon , No specific technique
- Patient: SS, male, 83 y.o.
- Type of procedure: Coronary
- Type of intervention: Femoral
- Level: Non complex
Life style
Life-style limiting (critical limb ischaemia).
General Presentation
S.S. 83 year old male
Psychological status
Normal psychological status
Risk factors
High blood pressure
Dyslipidemia
Diabetes Mellitus Non Insulin Dependant
Deep Venous Thrombosis (right popliteal vein)
Chronic Liver Failure (HCV)
Past/Clinical history
Previous myocardial infarction (2009)
CABG (2009)
Clinical presentation
From April 2012 - Ischemic ulcer at 1st and 5th digits of the left foot.
Functional status (NYHA)
Rutherford class 5
Clinical examination
Ischemic ulcer at 1st and 5th digits of the left foot.
ECG
Right bundle branch block
Laboratory investigation
Creatinin level – 1.7mg/dl
AST – 18
ALT – 23
Risk evaluation
Concern about reopening the SFA close the to collaterals origin – risk of occlusion of the collaterals.
Strategy
Vascular Access:
- Left Femoral Antegrade Approach – 7F sheath
Device for reopening the SFA occlusion:
- OCELOT
Balloon:
- SFA and BTK: Drug eluting balloon
Key points
Concern about reopening the SFA close the to collaterals origin – risk of occlusion of the collaterals.
New devices to treat total occlusion in the peripheral arteries.
| BOSTON SCIENTIFIC | |||
|---|---|---|---|
| INNOVA | Stent | 6.0 MM x 100 MM | x 1 |
| V-18 Control Wire | 0.018 inch x 300 cm | x 1 | |
