Title
Endovascular revascularization of chronic total arterial occlusion of the lower limb using the safari technique
Date Issued
01 January 2021
Access level
open access
Resource Type
research article
Author(s)
Huillca M.A.R.
Moreno-Loaiza M.
Tipacti-Rodríguez F.
Briceño-Alvarado M.
Llalle W.S.C.
Abstract
The SAFARI technique or Subintimal Arterial Flossing with Antegrade-Retrograde Intervention is an endovascular procedure that allows recanalization of Chronic Total Occlusive (CTO) lesions when conventional subintimal angioplasty is unsuccessful. Retrograde access is usually obtained through the popliteal, anterior tibial, dorsalis pedis artery, or posterior tibial arteries and may potentially provide more options for endovascular interventions in limb salvage. The case of an 81-year-old man with a history of uncontrolled hypertension, diabetes mellitus, and dyslipidemia is presented. He presented with a cutaneous ulcer on the right lower limb with torpid evolution and poor healing. The Doppler ultrasound and arteriographic study revealed a CTO lesion of the popliteal artery that was not a candidate for antegrade endovascular revascularization, but was successfully treated using the SAFARI technique. The patient had no perioperative complications, the wound showed better healing, and he was discharged with an indication of daily dressings and control by an external outpatient clinic.
Volume
20
Language
English
OCDE Knowledge area
Sistema cardiaco, Sistema cardiovascular
Subjects
Scopus EID
2-s2.0-85103134235
Source
Jornal Vascular Brasileiro
ISSN of the container
16775449
Sources of information:
Directorio de Producción Científica
Scopus