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Endovascular / Lower limbs / Btk-bta / Case in the box

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D.N. 52 yo gentleman
  • Gondolier
  • Ex Heavy-Smoker;
  • Dyslipidemia;
  • Right 100 m. Invalidating Claudication + non healing (1year) ulceration lateral mid leg;
  • TcPO2= 21 mmHg
Strategy
  • Target: SFA First, AT eventually;
  • Left retrograde US guided 6F Destination Cross-over sheath + Retrograde prox AT ;
  • Retrograde sheathless CXI 18 + Command 18 LT;
  • Rendez-vous;
  • Ber II + angled + Command 18 LT;
  • Predilatation  4-6 mm;
  • DEB SeQuent Please 5-6 mm;
  • Multilock spot stenting;

 

Shooting date : 2018-03-23
Last update : 2021-06-09
Marco Manzi
Abano Terme, Italy
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Andrej Schmidt
Leipzig, Germany
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  • chankseliani G.

    chankseliani G. It's an interesting case, why is dilatation from the proximal and not from the distal.

    2019-05-03, 0h08
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