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Directional atherectomy for retained valves in a femoropopliteal saphenous vein bypass graft
- Source :
- Journal of Vascular Surgery Cases and Innovative Techniques, Vol 10, Iss 2, Pp 101406- (2024)
- Publication Year :
- 2024
- Publisher :
- Elsevier, 2024.
-
Abstract
- We describe the case of a 62-year-old man presenting 2 months after a reversed great saphenous vein femoropopliteal bypass performed for critical limb ischemia. He was found to have early, high-grade bypass graft stenosis on duplex ultrasound. Subsequent angiography demonstrated flow limitations secondary to two areas of retained venous valves in the proximal and mid-portions of the vein graft. The culprit valve lesions were successfully lysed endovascularly with a HawkOne (Medtronic) directional atherectomy device. This case demonstrates a safe, novel use of a directional atherectomy device for treatment of remnant valves causing hemodynamically significant flow problems in peripheral vein grafts.
Details
- Language :
- English
- ISSN :
- 24684287
- Volume :
- 10
- Issue :
- 2
- Database :
- Directory of Open Access Journals
- Journal :
- Journal of Vascular Surgery Cases and Innovative Techniques
- Publication Type :
- Academic Journal
- Accession number :
- edsdoj.188175bf45f3467598024efc7fe9780a
- Document Type :
- article
- Full Text :
- https://doi.org/10.1016/j.jvscit.2023.101406