Controlateral femoral access
6F braided introducer - long lesion (10cm) from distal to tibial artery
Subintimal or intraluminal angioplasty at level of SFA
Dilatation and stenting proximal part (Eluvia)
Tibioperoneal trunk angioplasty : 3.5/3 balloon - 3.5/28 Promus stent
Preservation of posterior tibial artery - excellent vascularization of a foot
Final assesment and treatment of TPT stenosis : good preservation of SFA - proximal popliteal artery and tibioperoneal trunk
arie B. 80 years old with claudication in mid range is not highly symptomatic and the procedure is not indicated how long this remained open ?/
Max A. Our experience is satisfactory in this territory for such anatomy . Thank you for your comment Arie.
Segal D. Nice job! What are your thoughts about athrectomy ?
Max A. We use atherectomy infrequently because of the cost ...
narayana reddy B. Nice case and nice demonstration
marcus P. Very Good!
Max A. 1 I think the procedure is highly justified ,this patient even at 80 needed to walk . We have an experience of DES in this location since 2003 and we are satisfied in selected indications
2 we do not use atherectomy routinely
3 thank you for your comments
Nazar N. You are great teacher ..God bless you..
Nazar N. Excellent