Ahmed M. Almahrouky , Mohamed Rafik
Ahmed Faraghaly¹, Ahmed Elmarakby¹, Ahmed Gamal Eldin Fouad¹, Fatma Zeinhom² & Wesam El-Din Sultan³
Ahmad Gamal1, Haitham A. Eldmarany1, Ahmed Farghaly1, Ahmed Elmarakby1, Ayman Refaat2.
Ahmed Nawar1, Waleed Reda1, Ahmed Safwat1, Sahar Mansour2
Mohamed Saber MSc, Tarek Hegazy MD,MRCS
Hossam Elmahdy; Waleed Eldaly; Hussein Elwan; Baker Ghoneim
Ahmed H. Ali FRCS and Hany Rafik MD
Hany M S Mikhail MD, FRCS, Hany A. Balamoun MD, FRCS
Abd Elrahman Elmaraghy, Mahmoud Saad Farahat and Mohammed abdo MD
Mahmoud Saad1, Haitham Mostafa Elmaleh1and Safaa Refaat El-Sady2
Ahmed H. Ali,FRCS
1Amr Mohamed Salem, 2Mohamed Mohamed Mokhtar, 2Sahar Ahmed El Shafei, 3Omaima Gaber Yassine, 2Eman Farouk Safwat
Shehab Soliman , Ahmed F. Aborady
Mr. Ayman M. A. Osman1 MD, MRCS (Eng); Mr. Sameh A. Mikhail1 MD, FRCS (Eng), MRCS (Eng); Mr. Mohamed E. Alkashty1 M.Sc.; Prof. Mohamed H.A. Fahmy1 MD.
Sherif Essam Eldin Tawfik; Ahmed Farouk Abdelmohsen; Mohamed Abd El-Monem Abd El-salam Rizk
Marwan Yousry, Hossam El Mahdy, Walied Eldaly, Hussein Elwan
Wael Ghanem MD*, and Mohamed Eldebeiky MD, FRCS*, Ayman Albaghdady MD*
Wael Ghanem MD
Sameh Mikhail1, Shady Elghazaly Harb 1, Sherif M. Mokhtar 1, Mohamed ElNady 2
Amr Saleh El Bahaey and Haitham A.Eldmarany
Haitham A. Eldmarany1, Amr Saleh El Bahaey2
Short Term Results of Retrograde Transpopliteal Access in Management Flush Superficial Femoral Artery Chronic Total Occlusions.
Purpose: to evaluate the safety and efficacy of retrograde transpopliteal access after failed antegrade
recanalization in limbs with flush occlusion of the superficial femoral artery (SFA). Methods: this is a
prospective study including patients presenting with critical limb ischemia due to flush SFA occlusion for
whom retrograde transpopliteal access was utilized after failure of antegrade revascularization at the
vascular surgery department in Kasr Al Aini hospitals during the period between May 2014-May 2016.
Results: the study included 16 patients with a mean age of 64years and male to female ratio 7:1.All
patients presented with CLI (Rutherford category 4-6), all lesions were TransAtlantic Society Consensus
(TASC) II D, Technical success was accomplished in 15 cases (93.75%). In 2 cases, re-entry to the true
lumen was achieved using bidirectional balloon dilatation. In one case, failure to cross the target lesion via
both antegrade & retrograde accesses occurred. Complications included 2 puncture site hematoma that
were managed conservatively; no AVF. There was no perioperative mortality. Primary patency was 75% at
6month. Conclusion: retrograde popliteal access is safe and effective bailout technique after failed
antegrade recanalization in patients with flush SFA occlusion.
Keywords: Flush occlusion - superficial femoral artery - endovascular – retrograde.