Recanalização subintimal total femoropoplítea após falência de bypass infrapoplíteo: redefinindo estratégias

Objective

Presentation of a clinical case with below the knee bypass failure treated by a total femoropopliteal recanalization and stenting.

Material and Methods

It is presented a patient with history of two previous femoropopliteal bypass with prosthetic graft, admitted by acute occlusion and severe ischemia. After chemical and mechanical bypass thrombectomy failure, without venous conduit available, with good infra‐popliteal outflow, patient was submitted to total femoropopliteal endovascular recanalization.

Results

An anterograde total subtintimal recanalization was performed, with intraluminal reentrance in the distal popliteal artery, and 3 stents implantation. There was no final stenosis observed, with good stent inflow and outflow.

Conclusion

The new endovascular devices with highly flexibility and resistance allowed a notorious transformation of the therapeutic strategies, with excellent patency rates.