E-ISSN 0976-2833 | ISSN 0975-3583
 

Original Article 


Endovascular Approach to Combined Ipsilateral Supra-inguinal and Infra-inguinal Artery Stenosis through a Single Common Puncture in a Single Sitting: Technique and Follow-Up

Santhosh Krishnappa, Jayasheelan Mambally Rachaiah, Srinidhi Srinivasa Hegde, Kanchanahalli Siddegowda Sadananda, Govardhan Ramasanjeevaiah, Manjunath Cholenahally Nanjappa.

Abstract
Background: Significant stenosis in both supra-inguinal and infra-inguinal arteries can be seen in a single given patient.
When both are diseased, crossover technique from opposite femoral arteries or upper limb approach is the preferred
technique. However, lot of anatomical factors can affect reaching the area from opposite femoral artery or upper limb. The
purpose of this study is to determine the safety, efficacy, mid-term clinical and radiological outcome of the endovascular
treatment using retrograde and antegrade femoral artery approach in those patients who have significant stenosis of
both supra and infra inguinal arteries, from a single ipsilateral common femoral artery puncture. Materials and Methods:
Between 2015 and 2017, we performed angioplasty to lower limb arteries for 73 patients at our centre. Among them
17 patients had significant stenosis of ipsilateral supra and infra-inguinal arteries. 12 patients underwent ipsilateral
retrograde femoral artery puncture to access iliac arteries under fluoroscopy guidance, followed by converting the same
puncture into antegrade approach to tackle superficial femoral artery or popliteal artery. Rest of the 5 patients, had alternative
approaches (left upper limb or contralateral femoral artery) because of the involvement of ipsilateral femoral artery
at the puncture site. Results: Acute success rate was 100%. There were no significant peri-procedure complications.
At the latest clinical follow-up (mean of 21.25 months), a restenosis rate of 16.67% in infra-inguinal arteries and none in
supra-inguinal arteries. Conclusion: Percutaneous retrograde femoral artery puncture and converting the same puncture
into antegrade approach, to high-grade combined ipsilateral supra-inguinal and infra-inguinal artery stenosis is a viable,
reasonably safer, one of the options to contralateral cross over or upper limb approach, with good midterm clinical results
and patency rates.

Key words: Percutaneous trans-arterial angioplasty, Supra-inguinal arteries, Infra-inguinal arteries, Common femoral artery, Superficial femoral artery.


 
ARTICLE TOOLS
Abstract
PDF Fulltext
How to cite this articleHow to cite this article
Citation Tools
Related Records
 Articles by Santhosh Krishnappa
Articles by Jayasheelan Mambally Rachaiah
Articles by Srinidhi Srinivasa Hegde
Articles by Kanchanahalli Siddegowda Sadananda
Articles by Govardhan Ramasanjeevaiah
Articles by Manjunath Cholenahally Nanjappa
on Google
on Google Scholar


How to Cite this Article
Pubmed Style

Santhosh Krishnappa, Jayasheelan Mambally Rachaiah, Srinidhi Srinivasa Hegde, Kanchanahalli Siddegowda Sadananda, Govardhan Ramasanjeevaiah, Manjunath Cholenahally Nanjappa. Endovascular Approach to Combined Ipsilateral Supra-inguinal and Infra-inguinal Artery Stenosis through a Single Common Puncture in a Single Sitting: Technique and Follow-Up. J Cardiovasc. Dis. Res.. 2018; 9(3): 123-126. doi:10.5530/jcdr.2018.3.28


Web Style

Santhosh Krishnappa, Jayasheelan Mambally Rachaiah, Srinidhi Srinivasa Hegde, Kanchanahalli Siddegowda Sadananda, Govardhan Ramasanjeevaiah, Manjunath Cholenahally Nanjappa. Endovascular Approach to Combined Ipsilateral Supra-inguinal and Infra-inguinal Artery Stenosis through a Single Common Puncture in a Single Sitting: Technique and Follow-Up. http://www.jcdronline.org/?mno=93749 [Access: January 16, 2022]. doi:10.5530/jcdr.2018.3.28


AMA (American Medical Association) Style

Santhosh Krishnappa, Jayasheelan Mambally Rachaiah, Srinidhi Srinivasa Hegde, Kanchanahalli Siddegowda Sadananda, Govardhan Ramasanjeevaiah, Manjunath Cholenahally Nanjappa. Endovascular Approach to Combined Ipsilateral Supra-inguinal and Infra-inguinal Artery Stenosis through a Single Common Puncture in a Single Sitting: Technique and Follow-Up. J Cardiovasc. Dis. Res.. 2018; 9(3): 123-126. doi:10.5530/jcdr.2018.3.28



Vancouver/ICMJE Style

Santhosh Krishnappa, Jayasheelan Mambally Rachaiah, Srinidhi Srinivasa Hegde, Kanchanahalli Siddegowda Sadananda, Govardhan Ramasanjeevaiah, Manjunath Cholenahally Nanjappa. Endovascular Approach to Combined Ipsilateral Supra-inguinal and Infra-inguinal Artery Stenosis through a Single Common Puncture in a Single Sitting: Technique and Follow-Up. J Cardiovasc. Dis. Res.. (2018), [cited January 16, 2022]; 9(3): 123-126. doi:10.5530/jcdr.2018.3.28



Harvard Style

Santhosh Krishnappa, Jayasheelan Mambally Rachaiah, Srinidhi Srinivasa Hegde, Kanchanahalli Siddegowda Sadananda, Govardhan Ramasanjeevaiah, Manjunath Cholenahally Nanjappa (2018) Endovascular Approach to Combined Ipsilateral Supra-inguinal and Infra-inguinal Artery Stenosis through a Single Common Puncture in a Single Sitting: Technique and Follow-Up. J Cardiovasc. Dis. Res., 9 (3), 123-126. doi:10.5530/jcdr.2018.3.28



Turabian Style

Santhosh Krishnappa, Jayasheelan Mambally Rachaiah, Srinidhi Srinivasa Hegde, Kanchanahalli Siddegowda Sadananda, Govardhan Ramasanjeevaiah, Manjunath Cholenahally Nanjappa. 2018. Endovascular Approach to Combined Ipsilateral Supra-inguinal and Infra-inguinal Artery Stenosis through a Single Common Puncture in a Single Sitting: Technique and Follow-Up. Journal of Cardiovascular Disease Research, 9 (3), 123-126. doi:10.5530/jcdr.2018.3.28



Chicago Style

Santhosh Krishnappa, Jayasheelan Mambally Rachaiah, Srinidhi Srinivasa Hegde, Kanchanahalli Siddegowda Sadananda, Govardhan Ramasanjeevaiah, Manjunath Cholenahally Nanjappa. "Endovascular Approach to Combined Ipsilateral Supra-inguinal and Infra-inguinal Artery Stenosis through a Single Common Puncture in a Single Sitting: Technique and Follow-Up." Journal of Cardiovascular Disease Research 9 (2018), 123-126. doi:10.5530/jcdr.2018.3.28



MLA (The Modern Language Association) Style

Santhosh Krishnappa, Jayasheelan Mambally Rachaiah, Srinidhi Srinivasa Hegde, Kanchanahalli Siddegowda Sadananda, Govardhan Ramasanjeevaiah, Manjunath Cholenahally Nanjappa. "Endovascular Approach to Combined Ipsilateral Supra-inguinal and Infra-inguinal Artery Stenosis through a Single Common Puncture in a Single Sitting: Technique and Follow-Up." Journal of Cardiovascular Disease Research 9.3 (2018), 123-126. Print. doi:10.5530/jcdr.2018.3.28



APA (American Psychological Association) Style

Santhosh Krishnappa, Jayasheelan Mambally Rachaiah, Srinidhi Srinivasa Hegde, Kanchanahalli Siddegowda Sadananda, Govardhan Ramasanjeevaiah, Manjunath Cholenahally Nanjappa (2018) Endovascular Approach to Combined Ipsilateral Supra-inguinal and Infra-inguinal Artery Stenosis through a Single Common Puncture in a Single Sitting: Technique and Follow-Up. Journal of Cardiovascular Disease Research, 9 (3), 123-126. doi:10.5530/jcdr.2018.3.28





Most Viewed Articles
  • Effects of right ventricular septal versus apical pacing on plasma natriuretic peptide levels
    nikoo M.H, ghaedian m. m., kafi M., fakhrpour A., Jorat M. V., Pakfetrat M., Ostovan M., Zahra Emkanjoo
    J Cardiovasc. Dis. Res.. 2011; 2(2): 104-109
    » Abstract » doi: 10.4103/0975-3583.83036

  • Massive pericardial effusion as the only manifestation of primary hypothyroidism
    Radheshyam Purkait , Anand Prasad , Ramchandra Bhadra , Arindam Basu
    J Cardiovasc. Dis. Res.. 2013; 4(4): 248-250
    » Abstract » doi: 10.1016/j.jcdr.2014.01.001

  • Impact of light exercises in selective cognitive response andhandballshooting accuracy performance in Mesopotamia handball players
    Ahuda Naji Zaidan, Qusay Mohammed Hamdan, Mohammed Kadhim Saleh, Samer Saadoun Abd El , Rida
    J Cardiovasc. Dis. Res.. 2021; 12(2): 141-145
    » Abstract » doi: 10.31838/jcdr.2021.12.02.18

  • Reduced nitrate level in individuals with hypertension and diabetes
    Shiekh Gazalla Ayub, Taha Ayub, Saquib Naveed Khan, Rubiya Dar, Khurshid Iqbal Andrabi
    J Cardiovasc. Dis. Res.. 2011; 2(3): 172-176
    » Abstract » doi: 10.4103/0975-3583.85264

  • Factor analysis of risk variables associated with metabolic syndrome in adult Asian Indians
    Mithun Das, Susil Pal, Arnab Ghosh
    J Cardiovasc. Dis. Res.. 2010; 1(2): 86-91
    » Abstract » doi: 10.4103/0975-3583.64442

  • Most Downloaded
  • Assessment of the Knowledge and Attitude of Male Students towards Smoking Based on Health Belief Model
    Rafat Rezapour-Nasrabad, Fatemeh Izadi, Atousa Karimi, Fateme Shariati Far, Khatereh Rostami, Amin Kiani, Afsaneh Ghasemi
    J Cardiovasc. Dis. Res.. 2020; 11(4): 116-121
    » Abstract » doi: 10.31838/jcdr.2020.11.04.20

  • Diabetic Retinopathy, The Automated of Detection of Retinal Fundus Images with Probabilistic Neural Networks (PNN)
    Elvina Amanda, Marischa Elveny, Rahmad Syah
    J Cardiovasc. Dis. Res.. 2020; 11(4): 302-306
    » Abstract » doi: 10.31838/jcdr.2020.11.04.54

  • Investigation of the Relationship between Social Support and Adherence to Treatment among Elderly Individuals with Type II Diabetes Mellitus
    Afsaneh Ghasemi, Rafat Rezapour-Nasrabad, Leila Nikrouz, Fatemeh Izadi, Atousa Karimi, Fateme Shariati Far, Zahra Khiali
    J Cardiovasc. Dis. Res.. 2020; 11(4): 122-129
    » Abstract » doi: 10.31838/jcdr.2020.11.04.21

  • Evaluation of the RV function in ASD patients pre and post transcatheter occlusion by speckle tracking
    Ghazi Farhan Haji, Venus Abdulwahid Alwan, Sa`ad Hashim Mohammed
    J Cardiovasc. Dis. Res.. 2020; 11(1): 24-30
    » Abstract » doi: 10.31838/jcdr.2020.11.01.07

  • Preclinical Study of Derivative of 3-Oxypiridone in Experimental Pre-Eclampsia
    Alesya V. Yurakova, Sofya Y.Skachilova, Lyudmila M.Danilenko, Indira S. Kochkarova, Natalia V.Ekimova, Anastasia V. Gureeva, Il'ya S. Rozhkov, Adelaida V. Polyanskaya
    J Cardiovasc. Dis. Res.. 2020; 11(4): 66-70
    » Abstract » doi: 10.31838/jcdr.2020.11.04.11

  • Most Cited Articles
  • Alterations in oropharyngeal airway volume and dimensions following treatment with mandibular anterior repositioning in class II malocclusion
    Dr Wagisha Barbi, Dr. Jasmine Nindra, Dr. Pranav Manek, Dr. Partho Shankar Chakraborty, Dr. Priyadarshini Rangari
    J Cardiovasc. Dis. Res.. 2021; 12(6): 603-607
    » Abstract & References » doi: 10.31838/jcdr.2021.12.06.81
    Cited : 6 times [Click to see citing articles]

  • The Comparative Assessment of the Effect of Vitamin D Supplementation on the Severity and Control of Bronchial Asthma in Children
    Dr. Sushant Kumar, Dr Sanjeev Kumar, Dr. Vinod Kumar Mishra
    J Cardiovasc. Dis. Res.. 2021; 12(6): 484-489
    » Abstract & References » doi: 10.31838/jcdr.2021.12.06.65
    Cited : 5 times [Click to see citing articles]

  • To Determine the Influence of Body Mass Index on Blood Pressure in People with Hypertension
    Dr. Rajesh Kumar Pandey, Asha Kumari, Dr.S.N.Sachit, Dr.V.K.Mishra
    J Cardiovasc. Dis. Res.. 2021; 12(4): 1634-1643
    » Abstract & References » doi: 10.31838/jcdr.2021.12.03.172
    Cited : 4 times [Click to see citing articles]

  • IN SILICO DESIGNING AND ANALYSIS OF INHIBITORS AGAINST TARGET PROTEIN OF MALARIA
    Nainshi Omar, Preeti Verma, Abhinav Prasoon Mishra, Bhupendra Chauhan, Suyash Gupta, Riya Mathur
    J Cardiovasc. Dis. Res.. 2021; 12(3): 2882-2895
    » Abstract & References » doi: 10.31838/jcdr.2021.12.03.374
    Cited : 4 times [Click to see citing articles]

  • IDEATIFICATIONFOR THE LEVEL ANTIBODES (IGG ANDIGM) OF TOXOPLASMA GONDIIIMMNOCOMPROMISEDPATIENTS IN KIRKUK CITY
    AbedullkaligAlwanmhemedQasim Ibrahim Khalaf
    J Cardiovasc. Dis. Res.. 2021; 12(3): 2925-2929
    » Abstract & References » doi: 10.31838/jcdr.2021.12.03.378
    Cited : 3 times [Click to see citing articles]