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.
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.
Authors: M Jason Highsmith; Jason T Kahle; Tyler D Klenow; Casey R Andrews; Katherine L Lewis; Rachel C Bradley; Jessica M Ward; John J Orriola; James T Highsmith Journal: Technol Innov Date: 2016-09-01
Authors: Breno Boueri Affonso; Joaquim Maurício da Motta Leal Filho; Rafael Noronha Cavalcante; Priscila Mina Falsarella; Francisco Leonardo Galastri; Rodolfo Souza Cardoso; Felipe Nasser Journal: Einstein (Sao Paulo) Date: 2017-10-23