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Image Search Results
Journal: Quantitative Imaging in Medicine and Surgery
Article Title: Integrated application of antegrade and retrograde recanalization for femoral-popliteal artery chronic total occlusions: outcomes compared with antegrade recanalization
doi: 10.21037/qims.2018.07.02
Figure Lengend Snippet: A 77-year-old man with history of diabetes mellitus for 8 years. Long-segment occlusion is present in superficial femoral artery (SFA)-popliteal artery (PA) in both legs (A-E, arrows). In the right leg, the anterior tibial artery is s punctured under fluoroscopic guidance after failed antegrade recanalization (B, arrow). The rendezvous technique is performed after confirming that the retrograde guidewire has entered the true lumen (C, arrow). Recanalization of SFA-PA is achieved with balloon dilation and stent placement (D, arrow). In the left leg, distal SFA puncture is attempted successfully after failed antegrade recanalization (F, arrow). The bidirectional balloon angioplasty technique is performed to make the retrograde guidewire enter the same subintimal space where antegrade wire is (G, arrow). Recanalization of SFA with good flow, is achieved after balloon dilation and stent placement (H, arrow).
Article Snippet: If the antegrade and retrograde subintimal false channels were parallel and no intersections existed,
Techniques: