Subintimal Recanalization of the Femoropopliteal Segment to Promote Healing of an Ulcerated Below-Knee Amputation Stump

Purpose: To describe the use of the subintimal technique to revascularize an ulcerated below-knee amputation stump. Case Report: A 64-year-old man with persistent ulceration of a below-knee amputation stump underwent attempted percutaneous revascularization. Via antegrade puncture, the femoropoplite...

Full description

Saved in:
Bibliographic Details
Published in:Journal of endovascular therapy 2006-06, Vol.13 (3), p.420-423
Main Authors: Karkos, Christos D., Bright, Elizabeth, Bolia, Amman, London, Nicholas J.M.
Format: Article
Language:English
Subjects:
Amputation
Amputation Stumps - blood supply
Angioplasty
Angioplasty, Balloon - methods
Arterial Occlusive Diseases - diagnostic imaging
Arterial Occlusive Diseases - therapy
Femoral Artery - diagnostic imaging
Humans
Knee
Knee - surgery
Male
Middle Aged
Popliteal Artery - diagnostic imaging
Prostheses
Radiography
Treatment Outcome
Ulcer - therapy
Vascular surgery
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Purpose: To describe the use of the subintimal technique to revascularize an ulcerated below-knee amputation stump. Case Report: A 64-year-old man with persistent ulceration of a below-knee amputation stump underwent attempted percutaneous revascularization. Via antegrade puncture, the femoropopliteal occlusion was recanalized subintimally and eventually opened into a large medial geniculate collateral branch, improving the stump flow. The procedure was uneventful, and at 6 months, the patient was pain-free and able to mobilize with his prosthetic limb. Conclusion: Subintimal revascularization of a critically-ischemic below-knee amputation stump may be a useful option and should be considered in clinical situations like this.
ISSN:1526-6028
1545-1550
DOI:10.1583/05-1788.1