Recent Advancements in Role of Endovascular Revascularization Procedures in Chronic Limb Ischemia Involving Superficial Femoral Artery

2021 ◽  
pp. 63-69
Author(s):  
Amol Rathod ◽  
Vivek Ukirde ◽  
Saurabh Joshi ◽  
Ashank Bansal ◽  
Arvind Borde ◽  
...  
Keyword(s):  
Femoral Artery ◽  
Superficial Femoral Artery ◽  
Limb Ischemia ◽  
Endovascular Revascularization ◽  
Revascularization Procedures ◽  
Chronic Limb Ischemia

scholarly journals ROLE OF PREOPERATIVE EPIDURAL ANALGESIA IN POSTOPERATIVE OUTCOME OF PATIENTS WITH CHRONIC LIMB ISCHEMIA AND REST PAIN

2020 ◽  
Vol 8 (12) ◽  
pp. 847-849
Author(s):  
P. Deepthi ◽  
Keyword(s):  
Epidural Analgesia ◽  
Postoperative Outcome ◽  
Limb Ischemia ◽  
Rest Pain ◽  
Group 2 ◽  
A Prospective Study ◽  
Revascularization Procedures ◽  
Chronic Limb Ischemia ◽  
Group 1

Introduction:Rest pain in patients with chronic limb ischemia is very severe and intolerable one, hence it is often quoted as cry of dying nerves. All these patients require highly effective analgesia for control of pain. Epidural analgesia is known for its effective analgesic property. Its role in post operative period is well documented and known. But its role in preoperative period for these patients is poorly understood. Here we analyze role of preoperative epidural analgesia in postoperative outcome of patients with chronic limb ischemia and rest pain. Material and Methods:It is a prospective study done in 40 patients which analyze role of preoperative epidural analgesia in postoperative outcome of patients with chronic limb ischemia and rest pain who are undergoing bypass revascularization procedures. Here 20 patients each separated in two groups, group 1 – those received preoperative epidural analgesia for 48 hours prior to surgery and group 2 those who not received preoperative epidural analgesia. Results:It was found postoperative wound infections, limb salvage rates and adverse myocardial events were lower in group 1 patients those received preoperative epidural analgesia. Conclusion:Hence preoperative epidural analgesia has beneficial role in postoperative outcome of patients with chronic limb ischemia and rest pain.

Role of Superficial Femoral Artery Stents in the Management of Arterial Occlusive Disease: Review of Current Evidence

Vascular ◽  
2010 ◽  
Vol 18 (2) ◽  
pp. 82-92 ◽  
Author(s):  
S. Perrio ◽  
P. J. E. Holt ◽  
B. O. Patterson ◽  
R. J. Hinchliffe ◽  
I. M. Loftus ◽  
...  
Keyword(s):  
Femoral Artery ◽  
Superficial Femoral Artery ◽  
Arterial Occlusive Disease ◽  
Occlusive Disease ◽  
Current Evidence

Femoral Balloon-Oriented Puncture for True Lumen Reentry in the Common Femoral Artery After Subintimal Retrograde Recanalization of Superficial Femoral Artery Ostial Occlusion: The FORLEE Technique

2019 ◽  
Vol 26 (4) ◽  
pp. 490-495 ◽  
Author(s):  
Gabriele Testi ◽  
Tanja Ceccacci ◽  
Mauro Cevolani ◽  
Francesco Giacchi ◽  
Fabio Tarantino ◽  
...  
Keyword(s):  
Femoral Artery ◽  
Superficial Femoral Artery ◽  
Balloon Catheter ◽  
Duplex Ultrasound ◽  
Cost Effective ◽  
Limb Ischemia ◽  
Common Femoral Artery ◽  
Anterior Tibial Artery ◽  
True Lumen ◽  
The Common

Purpose: To report a new technique to reenter the common femoral artery (CFA) true lumen after retrograde recanalization of a superficial femoral artery (SFA) with flush ostial occlusion. Technique: The technique is demonstrated in a 76-year-old woman with critical limb ischemia previously submitted to several surgical revascularizations. A duplex ultrasound showed flush ostial occlusion of the SFA and patency of the anterior tibial artery at the ankle as the sole outflow vessel. After unsuccessful antegrade attempts to recanalize the SFA, a retrograde guidewire was advanced subintimally up to the CFA, without gaining reentry. A balloon catheter was inflated in the subintimal plane across the SFA ostial occlusion. Antegrade access to the distal CFA was achieved with a 20-G needle, which was used to puncture the balloon. A guidewire was advanced into the balloon and pushed forward while the collapsed balloon was pulled back to the mid SFA. The antegrade guidewire was externalized through a retrograde catheter, which was pushed in the CFA true lumen. A retrograde guidewire was advanced and externalized through the femoral sheath, establishing a flossing wire. The procedure was completed in antegrade fashion. Conclusion: The FORLEE technique is a cost-effective option to gain the CFA true lumen after subintimal retrograde recanalization of an ostial SFA occlusion.

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