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International Angiology 1998 June;17(2):80-2

Copyright © 2000 EDIZIONI MINERVA MEDICA

language: English

Color duplex sonography guided stent placement in a stenosis of the superficial femoral artery. A case report

Katzenschlager R., Ahmadi A., Minar E., Ugurluoglu A., Koppensteiner R., Stumpflen A., Ehringer H.

From the Department of Medical Angiology, University of Vienna, Vienna, Austria


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We ­report the first case of a suc­cess­ful stent place­ment under color coded ultra­sound guid­ance alone in the super­fi­cial femo­ral ­artery of a 73-year-old woman suf­fer­ing from inter­mit­tent calf claud­i­ca­tion fol­low­ing resten­o­sis after an uncom­pli­cat­ed angio­plas­ty five ­months pre­vi­ous­ly. Because of a hemo­dy­nam­i­cal­ly resid­u­al sten­o­sis after three ­attempts at dil­a­ta­tion, a per­cut­ane­ous trans­lu­mi­nal angio­plas­ty and stent inser­tion were per­formed under the sole guid­ance of color coded ultra­sound. The inter­ven­tion was per­formed with­out com­pli­ca­tion and at the six-month fol­low-up exam­ina­tion, the ­patient was symp­tom-free and the stent was mor­pho­log­i­cal­ly ­intact and hemo­dy­nam­i­cal­ly func­tion­al. This case shows that suc­cess­ful stent place­ment under ultra­son­ic guid­ance alone, with­out flu­o­ro­scop­ic con­trol is pos­sible, pro­vid­ed that there is ade­quate son­o­graph­ic vis­u­al­iza­tion.

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