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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
Max Amor
Essey-lès-Nancy, France
Koen Deloose
Dendermonde, Belgium
Thomas Zeller
Bad Krozingen, Germany
2 comments
Join the Discussion
  • Popeski P. .

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    • gerson U. Could you kindly elaborate why this case was not possible to do an open bypass for?

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