Successful carbon dioxide angiography guided endovascular thrombectomy of the superficial femoral artery in a young patient with critical limb ischemia
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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.
KeywordsCarbon dioxide angiography Renal failure Rotarex catheter Thrombectomy thrombus aspiration Self-expanding nitinol stent
Compliance with ethical standards
Conflict of interest
The authors have no conflict of interest to declare.
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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