Sponsored by Medtronic

Extending Expectations for Long SFA Lesions

 

A 96-year-old woman presented with critical limb ischemia and toe wounds on the left foot. She had a chronic total occlusion (CTO) in the left distal superficial femoral artery (SFA) that was approximately 5 cm in length. The anterior tibial artery takeoff had a focal, near-occlusive calcified lesion. There was diffuse calcified disease throughout the distal SFA/popliteal artery (A). Via right femoral access, a 135-cm Trailblazer™ support catheter (Medtronic) and GlideWire (Terumo Interventional Systems) were used to cross the CTO and multiple lesions. A 4-mm SpiderFX™ embolic protection device (Medtronic) was placed in the mid anterior tibial, and multiple passes were made with a HawkOne™-M atherectomy catheter (Medtronic) through the distal SFA and popliteal artery (B). A 3.5- X 120-mm Chocolate™ PTA balloon (Medtronic) was used for predilatation. A 4- X 250-mm IN.PACT™ Admiral™ drug-coated balloon (Medtronic) was inflated at 11 atm for 3 minutes (C). A 2.5- X 40-mm Chocolate PTA balloon was used at the anterior tibial takeoff. Postprocedural angiography showed good results (D).

Case courtesy of Varinder Phangureh, MD.

 

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Endovascular Today is a publication dedicated to bringing you comprehensive coverage of all the latest technology, techniques, and developments in the endovascular field. Our Editorial Advisory Board is composed of the top endovascular specialists, including interventional cardiologists, interventional radiologists, vascular surgeons, neurologists, and vascular medicine practitioners, and our publication is read by an audience of more than 22,000 members of the endovascular community.