Peripheral arterial interventions.

Thrombosis of a left femoropopliteal bypass. | Ken Ekechukwu, MD, MPH, FACP

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Key to images: Top panel: Pre-intervention run-off angiogram of the left lower extremity showing, from left to right, irregular left common femoral artery (LCFA) arrowed on the 1st image, absent left superfical femoral artery (LSFA) or any bypass conduit on the 2nd image, sketchy descending collaterals from the left deep femoral (LDFA) that reconstitute a […]

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Endovascular restoration of blood flow across total occlusions of the distal aorta and bilateral iliac channels. Ken U. Ekechukwu, MD, MPH, FACP.

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This 41-year-old woman smoked for a long time and developed severe bilateral calf cramping after short walks. Investigation revealed that she had completely occluded her distal abdominal aorta and her right and left iliac arteries, severely restricting the flow of blood into her lower limbs. She was unwilling to have surgery and came to me […]

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Simultaneous stenting of ostial stenosis of the common iliac arteries. Ken U. Ekechukwu, MD, MPH, FACP.

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Smoking, dyslipidemias (disorders of lipids such as hypercholesterolemia), hypertension, and diabetes, individually and severally, may narrow or occlude arteries in all parts of the body. Amongst arteries that may suffer are the ones that carry blood from the abdominal aorta (the large artery that carries blood from the heart across the abdomen towards the lower […]

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Treating arterial pseudoaneurysm by percutaneous injection of soluble thrombin. Ken U. Ekechukwu, MD, MPH, FACP.

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An arterial pseudoaneurysm is a false sac that develops adjacent to an artery under its pulsatile influence, often after trauma to the artery. This includes arterial punctures. The wall of a pseudoaneurysm is not true (which is why it is called a false (or pseudo) aneurysm), being comprised of blood clot and compressed tissue, which […]

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Restoring blood flow across chronic total occlusion of the LSFA. Ken U. Ekechukwu, MD, MPH, FACP.

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Fresh blood from the heart passes to the organs of the body through a large trunk of artery called the aorta that at about the level of the umbilicus divides into two equal arteries that cross the pelvis into the lower limbs. Each of the arteries in the lower limbs divides into two arteries in […]

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