Angiosome concept in the real world scenario ... · Angiosome concept in the real world scenario...
Transcript of Angiosome concept in the real world scenario ... · Angiosome concept in the real world scenario...
Angiosome concept in the real world scenario ---
presentation and a case example
I-Ming Chen, MD, PhD
2015 SVS International Scholar
Assistant Professor, Yang-Ming University, Taiwan
Attending Surgeon, Taipei Veterans General Hospital
Disclosure
Speaker name:
.................................................................................
I have the following potential conflicts of interest to report:
Consulting
Employment in industry
Stockholder of a healthcare company
Owner of a healthcare company
Other(s)
v I do not have any potential conflict of interest
Disclosure
Speaker name:
.................................................................................
I have the following potential conflicts of interest to report:
Consulting
Employment in industry
Stockholder of a healthcare company
Owner of a healthcare company
Other(s)
v I do not have any potential conflict of interest
Concept of BTK angiosome in revascularization & limb salvage
Plast. Reconstr. Surg. 117 (Suppl.): 261S, 2006.
Case presentation
81 y/o male
R’t big toe gangrene, RC 6
HTN, hyperlipidemia
T2DM under medication
s/p CABG for 10 years
Procedure plan
Antegrade approach: 5 French sheath
Wiring ATA, retrograde when antegrade fails
SAFARI then DCB PTA (Ranger DCB)
BTK retrograde approach
Key for success BTK retrograde punctureRotate C-arm correctly
Left leg--- ATA/DPA LAO 20~450 (+/- cranial 200) --- PTA RAO 60~800
--- PA LAO 30~450
Right leg--- ATA/DPA RAO 20~450 (+/- cranial 200) --- PTA LAO 60~800
--- PA RAO 30~450
Tube-artery-needle in a single line
Take Home Message
Multi-discipline management is mandatory.
Angiosome-based revascularization.
Familiar with retrograde puncture and SAFARI.
Conclusion
Thanks for your attention!
Multi-discipline management is mandatory.
Angiosome-based revascularization.
Familiar with retrograde puncture and SAFARI.