Remote Endarterectomy for an Occluded Superficial Femoral Artery (SFA) Stent – a Hybrid Technique for the SFA Intervention Toolbox

Author Info

Kum S Tan YK Tjun Yip Tang Vijaykumar K

Corresponding Author

Tjun Yip Tang
Department of Vascular Surgery, Singapore General Hospital, Singapore

A B S T R A C T

Remote SFA endarterectomy is a hybrid technique that affords lower limb revascularization without the patient having to undergo a bypass operation especially when the vessels are small (women, Asian decent) and the run off poor. The procedure allows for a larger calibre SFA lumen to be gained, which cannot be obtained from a repeat endovascular procedure for in stent occlusion. Remote endarterectomy down to infrageniculate level has not been previously reported. We describe a modified version of remote endarterectomy with use of a subintimal wire to help remove an occluded SFA stent in the setting of a calcified SFA. This hybrid technique is ideal for flush SFA occlusions.

Article Info

Article Type

Case Report

Publication history

Received: Thu 28, Feb 2019
Accepted: Fri 22, Mar 2019
Published: Fri 03, May 2019

Copyright

© 2023 Tjun Yip Tang . This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.SCR.2019.02.016