This didactic procedure concerns a 62 years old man, presenting severe right limb intermittent claudication (Rutherford 3) & long proximal SFA lesion with subsequent short occlusion.
It was treated by contralateral and retrograde approach, the lesion was prepared with directional atherectomy & a new cutting balloon (Chocolate-Medtronic). A good final result was obtained with DCB angioplasty.
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venkatesa reddy D. very good result
Mangesh T. My few questions about about Long Calcified SFA Recanalisation-
1.What was the prime aim of this Interventions to treat Proximal SFA Occlusion with Directional Atherectomy or Short segment occluded SFA?
2.Is Pre-dilatation with Coronary balloons (1.5-3.5mm) always necessary before Debulking of Femoro-Popliteal lesion with Atherectomy device?
3.Exact role of Chocolate Cutting balloon could not be understud? Why so many wires & balloons are used instead of doing Straightforward Hawkone Atherectomy and then Drug coated balloon plasty with In.pact Admiral?
4.Is their any loss of Paclitexel drug while doing Balloon Plasty multiple times?
5. After 'Inline flow' Recanalisation Why not below the knee Popliteo-tibial revascularisation Not attempted in same seating?
6.Does ABI Improved after long SFA Recanalisation & return of triphasic waveform in tibial arteries?
I feel Distal Embolisation protection device has No role in this Atherectomy + DEB Case!
So many hardware material uses is Luxury for IR Consultant!!
Do you agree with my comments?
Mangesh T. Great case done. Amazing results!!
Alexandre P. Interesting, than you