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Clinical data
•78 Years old male
•Risk factors : HBP, Diabetes type 2, former smoker, dyslipidemia.
•Medical history : ischemic heart disease with PCI, PAD with aorto bifemoral bypass, aortic valvular prothesis, chronic renal failure.
•Clinical symptoms : left lower limb intermittent claudication stage 2b
•Biological parameters : serum creatinine 21,4mg/L.
•On going treatement : aspirin, Fluindione, atenolol, atorvastatine, insulin, furosemide.
Strategy
1.Antegrade approach under echography
2.Intra luminal or sub intimal angioplasty
3.Discussion and selection of stents
4.Duration of DAPT (Anticoagulant)
Diagnostic images
Shooting date : 2016-07-13
Last update : 2021-06-09
Last update : 2021-06-09
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A stepwise approach for long-term patency in the SFA
DCB-BMS-DES: When and How?
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Popeski P. .
gerson U. Could you kindly elaborate why this case was not possible to do an open bypass for?