İliak arter girişimi için transpedal yaklaşım: Nadir bir olgu sunumu

Arteryel kan akımının yeniden sağlanması, ayak koruyucu olarak kritik ayak iskemisi olan hastaların başlıca önceliğidir. Son yıllarda, kardiyovasküler teknik ve becerilerdeki artışla ayak korumak için daha fazla operasyon yapılmıştır. Ayak arter tıkanıklığında antegrad girişimler, yaklaşık% 20 oranında başarısızlığa neden olur. Retrograd yaklaşımlar ise genellikle diz ve diz altı arter tıkanıklıklarında uygulanır. Çok seyrek olarak femoral arter tıkıanıklıklarında da retrograd yaklaşım uygulanır. Bu vakada ise sağ external iliak arter çıkışından başlayıp popliteal artere kadar uzanan tamamen tıkanmış arter segmentine sahip bir hastada retrograd yaklaşımla başarılı bir rekanalizasyonun sağlandığı çok daha nadir bir olgu sunulmaktadır.

Anahtar Kelimeler:

iliak arter hastalığ, transpedal yaklaşım

Transpedal approach for iliac artery intervention: A rare case report

Achieving arterial blood flow again is the main priority for the patients having critical foot ischemia in terms of protecting foot. In recent years, more operations have been done to save foot with the increase in cardiovascular techniques and skills. Antegrade attempts in foot artery occlusion result in failure approximately by %20. Retrograde approaches are usually applied to the popliteal and infrapopliteal arteries. Very rarely, retrograde approach is applied in femoral artery occlusions. In this case, a very rare case provided with successful recanalization through a retrograde approach for a patient having fully clogged arteries from right external iliac artery outlet to popliteal artery is presented.

Keywords:

iliac artery disease, transpedal approach,

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