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Endovascular treatment of chronic superficial femoral artery (SFA) occlusion for limb salvage

Case takeaways

  • Limb salvage by endoluminal bypass in Rutherford 6 limb
  • While initial PTA demonstrated a good result, diabetic patients have diffuse disease and the arteriogram understates the plaque burden in these patients
  • Cover healthy-to-healthy to the extent possible

We opt for greater stent coverage beyond the segment of disease.
We also employ oblique views of the take-off of the SFA so we can treat the diseased artery at the take-off of the SFA without compromising flow in the profunda femoris artery.

 — James Persky, MD, Cleveland, Ohio

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