Maxime Elens

Function: Specialist
Speciality: Vascular Surgery
Country: BE
Working place: Cliniques Universitaires Saint Luc, Brussels, BE

Activities

Comment on Sep 12, 2018

Maxime Elens commented on presentation Retrograde tibial anterior approach for challenging popliteal occlusion in CLI patient.

»Thank you both for your comments: The foot was vascularised by the ATA only, CTO of the entire PTA, that's why no retrograde PTA approach could be considered.«

Comment on Sep 03, 2018

Michel Bosiers commented on presentation Retrograde tibial anterior approach for challenging popliteal occlusion in CLI patient.

»Good job! To answer some of your questions, i would have stented the entire subintimal part, to treat those dissections, but thats just me. Regarding the vasospasm of the ATA, i would treat it just like you, there is no need for ballooning, and if it looks better after your papaverine injection, i would leave it like it is.«

Comment on Sep 01, 2018

Nicola Troisi commented on presentation Retrograde tibial anterior approach for challenging popliteal occlusion in CLI patient.

»Nice case, thank you for sharing. Just one short comment. There is no foot picture. Neither pre nor post revascularization. The foot circulation is guaranteed by ATA? Is it enough? Otherwise, you could even consider antegrade revasculatization of PTA«

Case report

Retrograde tibial anterior approach for challenging popliteal occlusion in CLI patient

This case report describes the endovascular treatment of a challenging popliteal occlusion in a CLTI patient. The lesion couldn’t be crossed via antegrade approach. The retrograde approach by puncture the mid section of the anterior tibial artery is safe and allowed us to recanalize the lesion easily.

Iliac and infrainguinal arteries

PAD: Femoropopliteal arterial disease

Maxime Elens

August 29, 2018 3 Comments

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