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Rivista di Angiologia

Official Journal of the International Union of Angiology, the International Union of Phlebology and the Central European Vascular Forum
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International Angiology 2003 September;22(3):322-4

lingua: Inglese

Management of a “saddle” embolus at the popliteal bifurcation by a variation of the “push and park” approach. A case report

Papavassiliou V. G. 1, Bell P. R. F. 1, A. Bolia A. 2

1 Depart­ment of Vas­cu­lar Sur­gery, Lei­cest­er Royal Infir­mary, Lei­cest­er, UK
2 Depart­ment of Radiol­o­gy, Lei­cest­er Royal Infir­mary, Lei­cest­er, UK


We ­present a mod­ifi­ca­tion of a pre­vi­ous­ly report­ed endo­vas­cu­lar tech­nique where a large embo­lus was “­pushed and ­parked” into a dis­eased ­artery. A sad­dle embo­lus at the bifur­ca­tion of the pop­li­teal ­artery, which ­occurred as a com­pli­ca­tion after a per­cut­ane­ous sub­in­ti­mal rec­a­nal­iza­tion, was ­pushed and ­parked into the tibio-per­oneal trunk. This was ­achieved using 2 bal­loon cath­e­ters, one to dis­en­gage the embo­lus from the ante­ri­or tibi­al ­artery, and the other to push the embo­lus into the tibio-per­oneal trunk, thus estab­lish­ing flow into the ante­ri­or tibi­al ­artery. Push­ing and park­ing an embo­lus into a less use­ful ves­sel when all ­attempts at cath­e­ter embo­lec­to­my have ­failed is a sim­ple and quick meth­od which ­should be borne in mind by all vas­cu­lar inter­ven­tion­al­ists.

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