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The conundrum of endovascular common femoral artery treatment: a case report of lithoplasty as a viable solution
BACKGROUND: Highly calcific stenosis located in common femoral artery (CFA) represents a difficult target for endovascular treatment due to the possible need for stent implantation in that area. CASE SUMMARY: A 63-year-old man with history of coronary artery disease and previous multiple percutaneou...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6764558/ https://www.ncbi.nlm.nih.gov/pubmed/31660495 http://dx.doi.org/10.1093/ehjcr/ytz122 |
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author | Trani, Carlo Russo, Giulio Aurigemma, Cristina Burzotta, Francesco |
author_facet | Trani, Carlo Russo, Giulio Aurigemma, Cristina Burzotta, Francesco |
author_sort | Trani, Carlo |
collection | PubMed |
description | BACKGROUND: Highly calcific stenosis located in common femoral artery (CFA) represents a difficult target for endovascular treatment due to the possible need for stent implantation in that area. CASE SUMMARY: A 63-year-old man with history of coronary artery disease and previous multiple percutaneous transluminal angioplasties for peripheral artery disease (PAD) was admitted for recent onset left lower limb pain at rest with severe activity restriction (Leriche-Fontaine Class III and Rutherford Class III–IV). The angio-computed tomography scan showed a highly calcific stenosis of left CFA. The patient underwent lithoplasty balloon angioplasty followed by drug-eluting balloon inflation with excellent angiographic result and complete blood flow restoration. No procedural complications occurred. DISCUSSION: Highly calcified stenosis in PAD represents a huge challenge for endovascular treatment as not all lower extremity arteries are suitable for stenting because of compressive and torsional forces associated with stent fracture and restenosis. Lithoplasty is a new technology allowing effective blood flow restoration while minimizing vessel injury. |
format | Online Article Text |
id | pubmed-6764558 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-67645582019-10-02 The conundrum of endovascular common femoral artery treatment: a case report of lithoplasty as a viable solution Trani, Carlo Russo, Giulio Aurigemma, Cristina Burzotta, Francesco Eur Heart J Case Rep Case Reports BACKGROUND: Highly calcific stenosis located in common femoral artery (CFA) represents a difficult target for endovascular treatment due to the possible need for stent implantation in that area. CASE SUMMARY: A 63-year-old man with history of coronary artery disease and previous multiple percutaneous transluminal angioplasties for peripheral artery disease (PAD) was admitted for recent onset left lower limb pain at rest with severe activity restriction (Leriche-Fontaine Class III and Rutherford Class III–IV). The angio-computed tomography scan showed a highly calcific stenosis of left CFA. The patient underwent lithoplasty balloon angioplasty followed by drug-eluting balloon inflation with excellent angiographic result and complete blood flow restoration. No procedural complications occurred. DISCUSSION: Highly calcified stenosis in PAD represents a huge challenge for endovascular treatment as not all lower extremity arteries are suitable for stenting because of compressive and torsional forces associated with stent fracture and restenosis. Lithoplasty is a new technology allowing effective blood flow restoration while minimizing vessel injury. Oxford University Press 2019-07-29 /pmc/articles/PMC6764558/ /pubmed/31660495 http://dx.doi.org/10.1093/ehjcr/ytz122 Text en © The Author(s) 2019. Published by Oxford University Press on behalf of the European Society of Cardiology. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | Case Reports Trani, Carlo Russo, Giulio Aurigemma, Cristina Burzotta, Francesco The conundrum of endovascular common femoral artery treatment: a case report of lithoplasty as a viable solution |
title | The conundrum of endovascular common femoral artery treatment: a case report of lithoplasty as a viable solution |
title_full | The conundrum of endovascular common femoral artery treatment: a case report of lithoplasty as a viable solution |
title_fullStr | The conundrum of endovascular common femoral artery treatment: a case report of lithoplasty as a viable solution |
title_full_unstemmed | The conundrum of endovascular common femoral artery treatment: a case report of lithoplasty as a viable solution |
title_short | The conundrum of endovascular common femoral artery treatment: a case report of lithoplasty as a viable solution |
title_sort | conundrum of endovascular common femoral artery treatment: a case report of lithoplasty as a viable solution |
topic | Case Reports |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6764558/ https://www.ncbi.nlm.nih.gov/pubmed/31660495 http://dx.doi.org/10.1093/ehjcr/ytz122 |
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