PMC8566535_01
Intraoperative fluoroscopic images of the revascularization procedure of the ischemic lower limb. (A,B) Intraprocedural angiography revealed a below-the-knee complete occlusion on all the tibial vessels and a complete absence of distal foot perfusion. (C) Penumbra Indigo thromboaspiration catheter CAT 6 advanced in the anterior tibial artery and dorsalis pedis. (D) Thromboaspiration catheter CAT 6 advanced into the plantar arch. (E) Post-thromboaspiration angiography revealed the complete recanalization of the anterior tibial artery, dorsal, and plantar arch and posterior tibial artery. A near-complete absence of interdigital arteries and distal vasculature opacization is also highlighted.
fcvm-08-727276-g0001.jpg
PMC8566535_01_fcvm-08-727276-g0001.jpg
F1
The recanalization procedure achieved a good result, reaching the more distal part of the foot arterial tree using the plantar loop technique (Figure 1). A 24- and 48-h angiography revealed the same situation of severe delay of the contrast medium washout at below-the-ankle vessels with near-complete absence of digital arteries and microvessel perfusion of the foot (Figure 1).