Endovascular revascularization of chronic total arterial occlusion of the lower limb using the SAFARI technique

Detalhes bibliográficos
Autor(a) principal: Huillca,Miguel Alonso-Rojas
Data de Publicação: 2021
Outros Autores: Moreno-Loaiza,Milagros, Tipacti-Rodríguez,Félix, Briceño-Alvarado,Manolo, Llalle,Wildor Samir Cubas
Tipo de documento: Relatório
Idioma: eng
Título da fonte: Jornal Vascular Brasileiro (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-54492021000100501
Resumo: Abstract The SAFARI technique or Subintimal Arterial Flossing with Antegrade-Retrograde Intervention is an endovascular procedure that allows recanalization of Chronic Total Occlusive (CTO) lesions when conventional subintimal angioplasty is unsuccessful. Retrograde access is usually obtained through the popliteal, anterior tibial, dorsalis pedis artery, or posterior tibial arteries and may potentially provide more options for endovascular interventions in limb salvage. The case of an 81-year-old man with a history of uncontrolled hypertension, diabetes mellitus, and dyslipidemia is presented. He presented with a cutaneous ulcer on the right lower limb with torpid evolution and poor healing. The Doppler ultrasound and arteriographic study revealed a CTO lesion of the popliteal artery that was not a candidate for antegrade endovascular revascularization, but was successfully treated using the SAFARI technique. The patient had no perioperative complications, the wound showed better healing, and he was discharged with an indication of daily dressings and control by an external outpatient clinic.
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spelling Endovascular revascularization of chronic total arterial occlusion of the lower limb using the SAFARI techniquecritical limb ischemiasubintimal angioplastyretrograde accesspopliteal arteryanterior tibial arteryAbstract The SAFARI technique or Subintimal Arterial Flossing with Antegrade-Retrograde Intervention is an endovascular procedure that allows recanalization of Chronic Total Occlusive (CTO) lesions when conventional subintimal angioplasty is unsuccessful. Retrograde access is usually obtained through the popliteal, anterior tibial, dorsalis pedis artery, or posterior tibial arteries and may potentially provide more options for endovascular interventions in limb salvage. The case of an 81-year-old man with a history of uncontrolled hypertension, diabetes mellitus, and dyslipidemia is presented. He presented with a cutaneous ulcer on the right lower limb with torpid evolution and poor healing. The Doppler ultrasound and arteriographic study revealed a CTO lesion of the popliteal artery that was not a candidate for antegrade endovascular revascularization, but was successfully treated using the SAFARI technique. The patient had no perioperative complications, the wound showed better healing, and he was discharged with an indication of daily dressings and control by an external outpatient clinic.Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV)2021-01-01info:eu-repo/semantics/reportinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-54492021000100501Jornal Vascular Brasileiro v.20 2021reponame:Jornal Vascular Brasileiro (Online)instname:Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV)instacron:SBACV10.1590/1677-5449.200126info:eu-repo/semantics/openAccessHuillca,Miguel Alonso-RojasMoreno-Loaiza,MilagrosTipacti-Rodríguez,FélixBriceño-Alvarado,ManoloLlalle,Wildor Samir Cubaseng2021-03-09T00:00:00Zoai:scielo:S1677-54492021000100501Revistahttp://www.scielo.br/jvbhttps://old.scielo.br/oai/scielo-oai.php||secretaria@sbacv.org.br1677-73011677-5449opendoar:2021-03-09T00:00Jornal Vascular Brasileiro (Online) - Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV)false
dc.title.none.fl_str_mv Endovascular revascularization of chronic total arterial occlusion of the lower limb using the SAFARI technique
title Endovascular revascularization of chronic total arterial occlusion of the lower limb using the SAFARI technique
spellingShingle Endovascular revascularization of chronic total arterial occlusion of the lower limb using the SAFARI technique
Huillca,Miguel Alonso-Rojas
critical limb ischemia
subintimal angioplasty
retrograde access
popliteal artery
anterior tibial artery
title_short Endovascular revascularization of chronic total arterial occlusion of the lower limb using the SAFARI technique
title_full Endovascular revascularization of chronic total arterial occlusion of the lower limb using the SAFARI technique
title_fullStr Endovascular revascularization of chronic total arterial occlusion of the lower limb using the SAFARI technique
title_full_unstemmed Endovascular revascularization of chronic total arterial occlusion of the lower limb using the SAFARI technique
title_sort Endovascular revascularization of chronic total arterial occlusion of the lower limb using the SAFARI technique
author Huillca,Miguel Alonso-Rojas
author_facet Huillca,Miguel Alonso-Rojas
Moreno-Loaiza,Milagros
Tipacti-Rodríguez,Félix
Briceño-Alvarado,Manolo
Llalle,Wildor Samir Cubas
author_role author
author2 Moreno-Loaiza,Milagros
Tipacti-Rodríguez,Félix
Briceño-Alvarado,Manolo
Llalle,Wildor Samir Cubas
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Huillca,Miguel Alonso-Rojas
Moreno-Loaiza,Milagros
Tipacti-Rodríguez,Félix
Briceño-Alvarado,Manolo
Llalle,Wildor Samir Cubas
dc.subject.por.fl_str_mv critical limb ischemia
subintimal angioplasty
retrograde access
popliteal artery
anterior tibial artery
topic critical limb ischemia
subintimal angioplasty
retrograde access
popliteal artery
anterior tibial artery
description Abstract The SAFARI technique or Subintimal Arterial Flossing with Antegrade-Retrograde Intervention is an endovascular procedure that allows recanalization of Chronic Total Occlusive (CTO) lesions when conventional subintimal angioplasty is unsuccessful. Retrograde access is usually obtained through the popliteal, anterior tibial, dorsalis pedis artery, or posterior tibial arteries and may potentially provide more options for endovascular interventions in limb salvage. The case of an 81-year-old man with a history of uncontrolled hypertension, diabetes mellitus, and dyslipidemia is presented. He presented with a cutaneous ulcer on the right lower limb with torpid evolution and poor healing. The Doppler ultrasound and arteriographic study revealed a CTO lesion of the popliteal artery that was not a candidate for antegrade endovascular revascularization, but was successfully treated using the SAFARI technique. The patient had no perioperative complications, the wound showed better healing, and he was discharged with an indication of daily dressings and control by an external outpatient clinic.
publishDate 2021
dc.date.none.fl_str_mv 2021-01-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/report
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format report
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-54492021000100501
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-54492021000100501
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/1677-5449.200126
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV)
publisher.none.fl_str_mv Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV)
dc.source.none.fl_str_mv Jornal Vascular Brasileiro v.20 2021
reponame:Jornal Vascular Brasileiro (Online)
instname:Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV)
instacron:SBACV
instname_str Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV)
instacron_str SBACV
institution SBACV
reponame_str Jornal Vascular Brasileiro (Online)
collection Jornal Vascular Brasileiro (Online)
repository.name.fl_str_mv Jornal Vascular Brasileiro (Online) - Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV)
repository.mail.fl_str_mv ||secretaria@sbacv.org.br
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