Work

Retrograde endovascular intervention treating chronic limb threatening ischemia: A case report

Year: 2024

Type: article

Abstract: The retrograde approach is an adjunctive technique for endovascular intervention, particularly in the treatment of lower extremity arterial disease with multilevel vascular lesions. Combined with revascularization therapy, wound care plays a pivotal role in the management of patients with chronic limb-threatening ischemia. We present a case of chronic limb-threatening ischemia, with complex multilevel vascular lesions successfully treated using a retrograde endovascular approach alongside aggressive wound care management. Postintervention, the patient demonstrated a notable increase in ankle-brachial index from 0 to 1, along with accelerated wound healing and preservation of limb function. This case highlights the efficacy of the retrograde approach in restoring perfusion, particularly in chronic total occlusions, and emphasizes the importance of combining revascularization and wound care for optimal chronic limb-threatening ischemia management.

Source: Radiology Case Reports

DOI: 10.1016/j.radcr.2024.10.141

Authors: Tran Minh Bao Luan, Nguyen Huu Tuong, Tran Quoc Han

Institutions: University of Medicine and Pharmacy at Ho Chi Minh City, University Medical Center HCMC

Language: English

Topic: Peripheral Artery Disease Management

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $550