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Live Case #7: SFA angioplasty

Dr Palena & Dr Diaz-Sandoval

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

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Male, 60 y-o,

type 2 diabetes, CRF and dialysis.
Right Critical limb ischemia.
I toe and calcaneal necrosis.
Supera Stent in AFS.
BTK and BTA revascularization if needed

Strategy:

Antegrade 6F access. Endoluminal crossing, if fails, Subintimal attempt. Retrograde access if needed.
Command 14 and Command 18 – Armada balloon
5-6 mm Pre-dilatation + Supera Stent (5 mm).
Attempt BTK revascularization.

Shooting date : 2018-03-23
Last update : 2021-06-09

Luis Mariano Palena

Abano Terme, Italy

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Larry Diaz-Sandoval

Wyoming, United States

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