PMC9083548_01
Preoperative angiotomography.
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Preoperative angiography showing the bypass graft and the occluded superficial femoral artery.
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Angiography demonstrated occlusion of the superficial femoral and popliteal arteries with recanalization above the joint line (Figure 2).
Angiography showing the anterograde accesses and the retrograde guidewire in the common femoral artery.
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Retrograde recanalization was achieved with a 300cm 0.018 guidewire and a 150cm 0.018 recanalization catheter, introduced via the distal superficial femoral access and removed via the common femoral access using a capture snare (Figure 3), followed by a through-and-through technique.
Angioplasty of the superficial femoral artery.
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Pre-dilation of the superficial femoral and popliteal arteries was achieved with a 4 x 200 mm Armada 18 balloon catheter (Abbott Vascular, Illinois, United States) (Figure 4).
Post-procedural femoropopliteal angiography.
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The final angiography showed the treated segments were patent with good flow through the fibular artery (Figures 5 and 6).
Post-procedural angiography of the distal popliteal artery.
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The final angiography showed the treated segments were patent with good flow through the fibular artery (Figures 5 and 6).