Duplex-guided endovascular treatment for occlusive and stenotic lesions of the femoral- popliteal arterial segment: A comparative study in the first 253.

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Presentation transcript:

Duplex-guided endovascular treatment for occlusive and stenotic lesions of the femoral- popliteal arterial segment: A comparative study in the first 253 cases Enrico Ascher, MD, Natalie A. Marks, MD, RVT, Anil P. Hingorani, MD, Richard W. Schutzer, MD, Manikyam Mutyala, MD Journal of Vascular Surgery Volume 44, Issue 6, Pages 1230-1237 (December 2006) DOI: 10.1016/j.jvs.2006.08.025 Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

Fig 1 Intraoperative color Doppler image of the recoiling plaque in the superficial femoral artery causing 64.6% stenosis (between the white arrows). Journal of Vascular Surgery 2006 44, 1230-1237DOI: (10.1016/j.jvs.2006.08.025) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

Fig 2 Intraoperative power Doppler image of the popliteal artery behind the knee at the level of an unfavorable re-entry site for the subintimal dissection procedure. Note the thick (2-mm) calcified intima-media layer (white arrow). Journal of Vascular Surgery 2006 44, 1230-1237DOI: (10.1016/j.jvs.2006.08.025) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

Fig 3 Intraoperative grayscale image of the popliteal artery behind the knee at the re-entry site during the subintimal dissection procedure. Note the 5F Bern (Boston Scientific, Natick, Mass) directional catheter and 0.018 Thruway (Boston Scientific, Natick, Mass) guidewire coming out of the false lumen (dissection plane) and entering the true lumen of the popliteal artery (white arrow). Journal of Vascular Surgery 2006 44, 1230-1237DOI: (10.1016/j.jvs.2006.08.025) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

Fig 4 Intraoperative color Doppler image of the popliteal artery behind the knee after re-entry during subintimal dissection, depicting the origin of dissection. Note the typical bidirectional flow pattern represented by red (true lumen) and blue (false lumen). Journal of Vascular Surgery 2006 44, 1230-1237DOI: (10.1016/j.jvs.2006.08.025) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions