Subintimal Angioplasty of Lengthy Femorotibial Total Occlusion in Buerger's Disease
Purpose To report successful subintimal angioplasty of a lengthy femorotibial occlusion in a patient with Buerger's disease, with wound healing and limb salvage. Case Report A 38-year-old female heavy smoker was referred to our hospital for treatment of extensive infectious tissue loss, with se...
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| Veröffentlicht in: | Journal of endovascular therapy 2013-08, Vol.20 (4), p.578-581 |
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| container_title | Journal of endovascular therapy |
| container_volume | 20 |
| creator | Kawarada, Osami Ayabe, Shinobu Yotsukura, Hiroko Nakaya, Takako Kanayama, Junji Harada, Koichiro Ishihara, Masaharu Yasuda, Satoshi Ogawa, Hisao |
| description | Purpose
To report successful subintimal angioplasty of a lengthy femorotibial
occlusion in a patient with Buerger's disease, with wound healing and
limb salvage.
Case Report
A 38-year-old female heavy smoker was referred to our hospital for treatment
of extensive infectious tissue loss, with severe foot pain 1 month after
early failure of a distal bypass graft. Angiography revealed total occlusion
in the femoropopliteal and infrapopliteal arteries. Endovascular
recanalization was attempted in order to establish “straight-line
flow” to the foot on the verge of limb loss. The subintimal
angioplasty technique with a 0.014-inch hydrophilic guidewire facilitated
successful crossing of the occlusive femoropopliteal and posterior tibial
arteries. The lesions were serially dilated (standard and cutting balloons).
Angiography demonstrated antegrade flow to the foot without flow-limiting
dissection, and the serious pain dramatically disappeared. Complete wound
healing was observed 5 months after initial revascularization with the
assistance of repeat angioplasty for restenosis.
Conclusion
Contemporary endovascular therapy using the subintimal angioplasty technique
could represent a viable option for Buerger's disease. |
| doi_str_mv | 10.1583/12-4139.1 |
| format | Article |
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To report successful subintimal angioplasty of a lengthy femorotibial
occlusion in a patient with Buerger's disease, with wound healing and
limb salvage.
Case Report
A 38-year-old female heavy smoker was referred to our hospital for treatment
of extensive infectious tissue loss, with severe foot pain 1 month after
early failure of a distal bypass graft. Angiography revealed total occlusion
in the femoropopliteal and infrapopliteal arteries. Endovascular
recanalization was attempted in order to establish “straight-line
flow” to the foot on the verge of limb loss. The subintimal
angioplasty technique with a 0.014-inch hydrophilic guidewire facilitated
successful crossing of the occlusive femoropopliteal and posterior tibial
arteries. The lesions were serially dilated (standard and cutting balloons).
Angiography demonstrated antegrade flow to the foot without flow-limiting
dissection, and the serious pain dramatically disappeared. Complete wound
healing was observed 5 months after initial revascularization with the
assistance of repeat angioplasty for restenosis.
Conclusion
Contemporary endovascular therapy using the subintimal angioplasty technique
could represent a viable option for Buerger's disease.</description><identifier>ISSN: 1526-6028</identifier><identifier>EISSN: 1545-1550</identifier><identifier>DOI: 10.1583/12-4139.1</identifier><identifier>PMID: 23914872</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Adult ; Amputation ; Angioplasty - methods ; Arterial Occlusive Diseases - etiology ; Arterial Occlusive Diseases - surgery ; Autoimmune diseases ; Disease ; Female ; Femoral Artery - surgery ; Foot diseases ; Hospitals ; Humans ; Ischemia ; Medical imaging ; Pain ; Patients ; Thromboangiitis Obliterans - complications ; Tunica Intima ; Veins & arteries ; Wound healing</subject><ispartof>Journal of endovascular therapy, 2013-08, Vol.20 (4), p.578-581</ispartof><rights>2013 International Society of Endovascular Specialists</rights><rights>Copyright Allen Press Publishing Services Aug 2013</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c410t-9bd3d3e46954841c96501be48d829cbcf582aa9c7deddc52a3a83810989189103</citedby><cites>FETCH-LOGICAL-c410t-9bd3d3e46954841c96501be48d829cbcf582aa9c7deddc52a3a83810989189103</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1583/12-4139.1$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1583/12-4139.1$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,21798,27901,27902,43597,43598</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23914872$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kawarada, Osami</creatorcontrib><creatorcontrib>Ayabe, Shinobu</creatorcontrib><creatorcontrib>Yotsukura, Hiroko</creatorcontrib><creatorcontrib>Nakaya, Takako</creatorcontrib><creatorcontrib>Kanayama, Junji</creatorcontrib><creatorcontrib>Harada, Koichiro</creatorcontrib><creatorcontrib>Ishihara, Masaharu</creatorcontrib><creatorcontrib>Yasuda, Satoshi</creatorcontrib><creatorcontrib>Ogawa, Hisao</creatorcontrib><title>Subintimal Angioplasty of Lengthy Femorotibial Total Occlusion in Buerger's Disease</title><title>Journal of endovascular therapy</title><addtitle>J Endovasc Ther</addtitle><description>Purpose
To report successful subintimal angioplasty of a lengthy femorotibial
occlusion in a patient with Buerger's disease, with wound healing and
limb salvage.
Case Report
A 38-year-old female heavy smoker was referred to our hospital for treatment
of extensive infectious tissue loss, with severe foot pain 1 month after
early failure of a distal bypass graft. Angiography revealed total occlusion
in the femoropopliteal and infrapopliteal arteries. Endovascular
recanalization was attempted in order to establish “straight-line
flow” to the foot on the verge of limb loss. The subintimal
angioplasty technique with a 0.014-inch hydrophilic guidewire facilitated
successful crossing of the occlusive femoropopliteal and posterior tibial
arteries. The lesions were serially dilated (standard and cutting balloons).
Angiography demonstrated antegrade flow to the foot without flow-limiting
dissection, and the serious pain dramatically disappeared. Complete wound
healing was observed 5 months after initial revascularization with the
assistance of repeat angioplasty for restenosis.
Conclusion
Contemporary endovascular therapy using the subintimal angioplasty technique
could represent a viable option for Buerger's disease.</description><subject>Adult</subject><subject>Amputation</subject><subject>Angioplasty - methods</subject><subject>Arterial Occlusive Diseases - etiology</subject><subject>Arterial Occlusive Diseases - surgery</subject><subject>Autoimmune diseases</subject><subject>Disease</subject><subject>Female</subject><subject>Femoral Artery - surgery</subject><subject>Foot diseases</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Ischemia</subject><subject>Medical imaging</subject><subject>Pain</subject><subject>Patients</subject><subject>Thromboangiitis Obliterans - complications</subject><subject>Tunica Intima</subject><subject>Veins & arteries</subject><subject>Wound healing</subject><issn>1526-6028</issn><issn>1545-1550</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNpl0MtKAzEUBuAgiq3VhS8gA4KXxdScXKbJslarQqGL1vWQyaQ1ZTqpycyib29Kq4hCSLL4-M_hR-gScB-4oA9AUgZU9uEIdYEzngLn-Hj3J1maYSI66CyEFcYECMAp6hAqgYkB6aLZrC1s3di1qpJhvbRuU6nQbBO3SCamXjYf22Rs1s67xhY2mrlr4j3VumqDdXVi6-SxNX5p_G1InmwwKphzdLJQVTAXh7eH3sfP89FrOpm-vI2Gk1QzwE0qi5KW1LBMciYYaJlxDIVhohRE6kIvuCBKST0oTVlqThRVggrAUkiIB9Meutvnbrz7bE1o8rUN2lSVqo1rQw4MBM0yiVmk13_oyrW-jttFReVAcgmDqO73SnsXgjeLfONjM36bA853TedA8l3TOUR7dUhsi7Upf-R3tRHc7EFQS_Nr3L-kLzyQgpU</recordid><startdate>201308</startdate><enddate>201308</enddate><creator>Kawarada, Osami</creator><creator>Ayabe, Shinobu</creator><creator>Yotsukura, Hiroko</creator><creator>Nakaya, Takako</creator><creator>Kanayama, Junji</creator><creator>Harada, Koichiro</creator><creator>Ishihara, Masaharu</creator><creator>Yasuda, Satoshi</creator><creator>Ogawa, Hisao</creator><general>SAGE Publications</general><general>Allen Press Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>201308</creationdate><title>Subintimal Angioplasty of Lengthy Femorotibial Total Occlusion in Buerger's Disease</title><author>Kawarada, Osami ; Ayabe, Shinobu ; Yotsukura, Hiroko ; Nakaya, Takako ; Kanayama, Junji ; Harada, Koichiro ; Ishihara, Masaharu ; Yasuda, Satoshi ; Ogawa, Hisao</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c410t-9bd3d3e46954841c96501be48d829cbcf582aa9c7deddc52a3a83810989189103</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adult</topic><topic>Amputation</topic><topic>Angioplasty - methods</topic><topic>Arterial Occlusive Diseases - etiology</topic><topic>Arterial Occlusive Diseases - surgery</topic><topic>Autoimmune diseases</topic><topic>Disease</topic><topic>Female</topic><topic>Femoral Artery - surgery</topic><topic>Foot diseases</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Ischemia</topic><topic>Medical imaging</topic><topic>Pain</topic><topic>Patients</topic><topic>Thromboangiitis Obliterans - complications</topic><topic>Tunica Intima</topic><topic>Veins & arteries</topic><topic>Wound healing</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kawarada, Osami</creatorcontrib><creatorcontrib>Ayabe, Shinobu</creatorcontrib><creatorcontrib>Yotsukura, Hiroko</creatorcontrib><creatorcontrib>Nakaya, Takako</creatorcontrib><creatorcontrib>Kanayama, Junji</creatorcontrib><creatorcontrib>Harada, Koichiro</creatorcontrib><creatorcontrib>Ishihara, Masaharu</creatorcontrib><creatorcontrib>Yasuda, Satoshi</creatorcontrib><creatorcontrib>Ogawa, Hisao</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of endovascular therapy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kawarada, Osami</au><au>Ayabe, Shinobu</au><au>Yotsukura, Hiroko</au><au>Nakaya, Takako</au><au>Kanayama, Junji</au><au>Harada, Koichiro</au><au>Ishihara, Masaharu</au><au>Yasuda, Satoshi</au><au>Ogawa, Hisao</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Subintimal Angioplasty of Lengthy Femorotibial Total Occlusion in Buerger's Disease</atitle><jtitle>Journal of endovascular therapy</jtitle><addtitle>J Endovasc Ther</addtitle><date>2013-08</date><risdate>2013</risdate><volume>20</volume><issue>4</issue><spage>578</spage><epage>581</epage><pages>578-581</pages><issn>1526-6028</issn><eissn>1545-1550</eissn><abstract>Purpose
To report successful subintimal angioplasty of a lengthy femorotibial
occlusion in a patient with Buerger's disease, with wound healing and
limb salvage.
Case Report
A 38-year-old female heavy smoker was referred to our hospital for treatment
of extensive infectious tissue loss, with severe foot pain 1 month after
early failure of a distal bypass graft. Angiography revealed total occlusion
in the femoropopliteal and infrapopliteal arteries. Endovascular
recanalization was attempted in order to establish “straight-line
flow” to the foot on the verge of limb loss. The subintimal
angioplasty technique with a 0.014-inch hydrophilic guidewire facilitated
successful crossing of the occlusive femoropopliteal and posterior tibial
arteries. The lesions were serially dilated (standard and cutting balloons).
Angiography demonstrated antegrade flow to the foot without flow-limiting
dissection, and the serious pain dramatically disappeared. Complete wound
healing was observed 5 months after initial revascularization with the
assistance of repeat angioplasty for restenosis.
Conclusion
Contemporary endovascular therapy using the subintimal angioplasty technique
could represent a viable option for Buerger's disease.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>23914872</pmid><doi>10.1583/12-4139.1</doi><tpages>4</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1526-6028 |
| ispartof | Journal of endovascular therapy, 2013-08, Vol.20 (4), p.578-581 |
| issn | 1526-6028 1545-1550 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1418366904 |
| source | MEDLINE; SAGE Complete |
| subjects | Adult Amputation Angioplasty - methods Arterial Occlusive Diseases - etiology Arterial Occlusive Diseases - surgery Autoimmune diseases Disease Female Femoral Artery - surgery Foot diseases Hospitals Humans Ischemia Medical imaging Pain Patients Thromboangiitis Obliterans - complications Tunica Intima Veins & arteries Wound healing |
| title | Subintimal Angioplasty of Lengthy Femorotibial Total Occlusion in Buerger's Disease |
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