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Angiologia e Cirurgia Vascular
versão impressa ISSN 1646-706X
Resumo
GOUVEIA, Ricardo et al. Aplication of modified technique of retroantegrade catheterization of the superficial femoral artery. Angiol Cir Vasc [online]. 2017, vol.13, n.2, pp.49-51. ISSN 1646-706X.
Although the femoral antegrade access is the ideal approach for endovascular treatment of infra-inguinal occlusive disease, there are situations where this is not feasible. And how to solve the problem of an approach when, after a retrograde femoral puncture for a diagnostic angiography, we intend to treat endovascularly the infra-inguinal sector of the punctured side? To apply an inversion technique of a retrograde access is a viable alternative. We present the case of a patient undergoing arteriography due to bilateral critical ischemia that, after being submitted to a diagnostic angiography through a retrograde femoral access, underwent a maneuver for conversion of the access to antegrade by a catheter-suported technique that enabled the treatment of the femoropopliteal ipsilateral sector.
Palavras-chave : Endovascular technique; Catheter; Peripheral arterial disease.