PMC6066151_01
Digital subtraction angiography. (A) Popliteal artery occlusion. (B and C) Thrombectomy catheter placed intra-thrombus. (D) Partial popliteal artery recanalization
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Right limb angiography showed superficial and deep femoral arteries without lesions and confirmed popliteal artery occlusion (Figure 1A). A 0,014" guide wire was passed through the occluded area, and a thrombectomy catheter was placed intra-thrombus (Figure 1B). Aspirex  (Figure 1C). Angiography showed partial popliteal artery recanalization (Figure 1D).
Digital subtraction angiography. Patency of the popliteal artery with residual stenosis and thrombus
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A new angiography showed patency of the popliteal artery with residual stenosis and thrombus (Figure 2).
Digital subtraction angiography. (A and B) Popliteal artery angioplasty performed with a 4x20 Paseo-35 balloon. (C and D) Partial popliteal recanalization
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Angioplasty was performed with a 4x20 Paseo-35 balloon (Biotronik, Bulach, Switzerland), followed by injection of 10mg rTPA (Figure 3A and 3D).
Final angiography demonstrated patency of the superficial femoral and popliteal arteries, without residual stenosis or thrombus
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Final angiography demonstrated patency of the popliteal artery, without residual stenosis or thrombus, and excellent inflow to the below-knee amputation stump (Figures 4A and 4D).