ISSN: 2329-9495
+44 1478 350008
Department of Surgery, Division of Thoracic and Cardiovascular Surgery, Chang Gung Memorial Hospital at Linkou, Chang Gung University, Taoyuan, Taiwan
Case Report
Retrograde Surgical Cut-down Direct Thrombectomy as a Salvage Procedure for Acute Limb Ischemia Especially under the Knee Thrombotic Occlusion: A Case Report
Author(s): Ying-Sheng Li* and Yu-Chieh Lu
Background: Acute limb ischemia is a serious condition even in an era of highly comprehensive medical treatment.
Despite the development of conservative and endovascular treatment, complete removal of the thrombus with
antegrade thrombectomy via the femoral approach, especially in below-the-knee arteries, is still not possible. In
addition, distal embolization of dislodged debris or thrombus during the procedure is another concern as this might
cause severe complications, including amputation. Given the above-mentioned issues, retrograde surgical cut-down
direct thrombectomy from the dorsalis pedis artery and posterior tibial artery could be an optimal option for
complete revascularization in below-the-knee arteries.
Case presentation: We present one case where the limb was preserved after retrograde surgical thrombectomy. Th.. View More»
DOI:
10.35248/2329-9495.22.10.289