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Successful Percutaneous Fogarty Thrombectomy for Subacute Lower Limb Ischemia Due to Resistant Thrombus in the Popliteal Artery.
- Source :
-
American Journal of Case Reports . 6/28/2022, Vol. 23, pe936377-1-e936377-7. 7p. - Publication Year :
- 2022
-
Abstract
- Objective: Unusual setting of medical care Background: Subacute lower limb ischemia occurs more than 14 days and less than 3 months from symptom onset. Although endovascular procedures are the preferred treatment choice for a viable and not immediately threatened limb in patients with acute lower limb ischemia (<14 days), percutaneous catheter-directed thrombolysis, percutaneous mechanical thrombectomy, or percutaneous thromboaspiration are not recommended, and no treatment strategy has yet been established for nonacute lower limb ischemia (>14 days). A percutaneous Fogarty thrombectomy, an endovascular thrombus removal procedure with the use of a large-caliber sheath and a Fogarty balloon catheter, has recently been reported as a less invasive alternative to open surgery in patients with acute lower limb ischemia. In this report, we use this technique for a case of subacute lower limb ischemia caused by a resistant thrombus. Case Report: A 73-year-old man with a diagnosis of essential thrombocythemia presented with symptoms of right lower limb ischemia, which started about a month before. The diagnosis was subacute lower limb ischemia due to a resistant thrombus in the popliteal artery. First, we attempted percutaneous thromboaspiration and prolonged dilation with a large-caliber balloon catheter, but there were still severe residual stenoses with delayed blood flow. Although vascular scaffold implantation might have achieved complete revascularization, we avoided it because of a high probability of stent fracture in the popliteal artery. Thus, we performed a subsequent percutaneous Fogarty thrombectomy immediately after the conventional endovascular recanalization failed, achieving complete revascularization and next-day discharge without any complications. Conclusions: A percutaneous Fogarty thrombectomy could be a new treatment option for subacute lower limb ischemia due to a resistant thrombus, which can be performed immediately after failure of the conventional endovascular recanalization. [ABSTRACT FROM AUTHOR]
- Subjects :
- *POPLITEAL artery
*THROMBECTOMY
*THROMBOSIS
*ISCHEMIA
*TISSUE scaffolds
Subjects
Details
- Language :
- English
- ISSN :
- 19415923
- Volume :
- 23
- Database :
- Academic Search Index
- Journal :
- American Journal of Case Reports
- Publication Type :
- Academic Journal
- Accession number :
- 157804230
- Full Text :
- https://doi.org/10.12659/AJCR.936377