介入および一般心臓学ジャーナル

Hybrid Technique in The Treatment of Critical Lower Limb Ischemia with Chronic Total Occlusive Arterial Disease in Nigeria- Case Report

Abstract

Edafe EA, Amaefuler T and Akpa MR

Critical lower limb ischemia is a clinical condition that is life threatening with impending loss of limb viability, and must be treated urgently to avoid major amputation. Revascularization is the most effective treatment method and can be carried out by surgical or endovascular techniques. For patients with chronic total occlusion of the Superficial Femoral Artery (SFA), amputation could be limited to below the knee using revascularization and below knee amputation. Combining these two approaches into a “hybrid technique” makes it possible to treat patients who were initially billed for above knee amputation. We report on a case of lower limb critical ischemia with chronic total occlusion of the left SFA treated using a combination of endovascular techniques and below knee amputation, in an application of the hybrid technique.