Fig 1.
A 46-year-old man with acute limb ischemia presenting with cyanosis, coldness, and rest pain of left lower limb.
There were no pulsation or Doppler signals on left femoral artery and dorsalis pedis artery. (A, B) Lower extremity angiography CT showed segmental occlusion of Lt common iliac artery (CIA) (arrow), proximal external iliac artery (EIA), proximal anterior tibial artery (ATA) (arrowhead), and tibioperoneal trunk. (C) Lt common femoral artery was cutdown state. (D) Aortoiliac arteriograms shows occluded left CIA and reconstituted EIA (arrowhead) from collateral flow. (E) Subsequent Fogarty thrombectomy was performed for Lt CIA and proximal runoff arteries occlusion. However, residual thrombosis and stenosis were noted at the Lt CIA, additional self-expanding stent was placed across the stenosis and ballooned (not shown). (F) Completion angiography demonstrated restoration of the flow at Lt CIA and proximal runoff arteries (not shown). (G) Gross appearance of the organized thrombus extracted from Lt CIA (arrow) and proximal runoff arteries (arrowhead).
Table 1.
Patient and limb baseline characteristics.
Table 2.
Procedural details of combined treatment.
Fig 2.
Graph shows primary patency of the lesions treated by combined treatment.
Fig 3.
Graph shows cumulative overall survival of the patients treated by combined treatment.