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Successful carbon dioxide angiography guided endovascular thrombectomy of the superficial femoral artery in a young patient with critical limb ischemia

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Abstract

Currently, the treatment of thromboembolic ischemia of the lower extremities includes percutaneous rotational thrombectomy and aspiration devices. However, the standard approach for endovascular treatment requires the administration of iodine contrast agents, which is problematic in patients with pre-existing renal disease and diabetes. Herein, we describe a case of a CO2 angiography guided endovascular thrombectomy of the superficial femoral artery (SFA) in a young patient with critical limb ischemia. Mechanical thrombectomy using the Rotarex system, catheter aided aspiration and subsequent stent placement in the SFA was entirely guided using CO2 angiography.

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Authors and Affiliations

  1. Department of Cardiology and Vascular Medicine, GRN Hospital Weinheim, Roentgenstrasse 1, 69469, Weinheim, Germany

    Sorin Giusca, Tom Eisele & Grigorios Korosoglou

  2. Department of Gastroenterology and Diabetology, GRN Hospital Weinheim, Roentgenstrasse 1, 69469, Weinheim, Germany

    Dorothea Raupp & Christoph Eisenbach

Authors
  1. Sorin Giusca
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  2. Tom Eisele
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  3. Dorothea Raupp
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  4. Christoph Eisenbach
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  5. Grigorios Korosoglou
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Corresponding authors

Correspondence to Sorin Giusca or Grigorios Korosoglou.

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The authors have no conflict of interest to declare.

Ethical standards

This study complies with the Declaration of Helsinki. Informed consent from patient was obtained before performing the procedure as well as regarding the publishing of his clinical data in an anonymized form.

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Giusca, S., Eisele, T., Raupp, D. et al. Successful carbon dioxide angiography guided endovascular thrombectomy of the superficial femoral artery in a young patient with critical limb ischemia. Heart Vessels 32, 359–363 (2017). https://doi.org/10.1007/s00380-016-0894-y

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  • DOI: https://doi.org/10.1007/s00380-016-0894-y

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