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Endovascular Stenting for Critical Limb Ischemia Patient with Superficial Femoral Artery Occlusive Disease: A Case Report

Heart Science Journal · Vol. 1 No. 1 (2020) · hlm. 30–34

DOI
10.21776/ub.hsj.2020.001.01.7
ISSN
2721-9984, 2721-9976
Terbit
2020-04-01
Penerbit
Universitas Brawijaya
Bahasa
en

Abstrak

BACKGROUND: Critical limb ischemia (CLI) is a terminal stage of peripheral arterial disease (PAD), in the absence of intervention, may lead to lower extremity amputation or death. In cases where medical management is not effective or severe cases of PAD, endovascular and surgical interventions are indicated.2 Endovascular interventions become a first-line approach of CLI management and have advanced considerably within the past decade.1,3CASE DESCRIPTION: A 73-year old female with complain of left leg pain, accompanied with necrotic wound since 6 months ago. Duplex ultrasound showed no-flow from proximal to distal left superficial femoral artery (SFA). From CT-Angiography showed total occlusion from proximal left SFA to proximal poplitea artery about 7,2cm with collateral vessels. She was diagnosed with CLI left inferior extremity Fontaine IV Rutherford III. Angiography inferior extrimities was performed with total occlusion from proximal to distal left SFA with collateral vessels run to distal. We deployed a self-expanding stent with size 6mmx100mmx120cm at proximal-mid SFA. The patient showed improvement and was discharged after 5-days observationDISCUSSION: Patients with CLI have high risk of limb-loss without revascularization and high short term risk of cardiovascular events. Endovascular revascularization of femoro-popliteal occlusive offers lower initial risks than open surgery, with grade IIB-recommendation for lesion less than 25cm. Clinical success of endovascular stenting on CLI usually synonymous to limb salvageCONCLUSION:Favorable results can be achieved with endovascular stenting approach in patients with CLI, where close follow-up treatment afterwards can save limb loss.

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Mohammad Saifur RohmanAfiliasi tidak diketahui38
Anna Fuji RahimahAfiliasi tidak diketahui30
Sasmojo WiditoAfiliasi tidak diketahui24
Budi SatrijoAfiliasi tidak diketahui21
Ardian RizalAfiliasi tidak diketahui19
Heny MartiniAfiliasi tidak diketahui19
Setyasih AnjarwaniAfiliasi tidak diketahui15
Indra PrasetyaAfiliasi tidak diketahui13
Yoga WaranugrahaAfiliasi tidak diketahui6
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Zainal FathurohimAfiliasi tidak diketahui5
Seprian WidasmaraAfiliasi tidak diketahui4
Adhika Prastya WikanandaAfiliasi tidak diketahui4
Saskia Dyah HandariAfiliasi tidak diketahui4
Putri Annisa KamilaUniversity of Brawijaya4
Dadang HendrawanAfiliasi tidak diketahui4
Ayu Asri Devi AdityawatiAfiliasi tidak diketahui4
Muhammad Rizki FadlanAfiliasi tidak diketahui4
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Teguh AryanugrahaAfiliasi tidak diketahui4
Wella KarolinaAfiliasi tidak diketahui4
Valerinna YogibuanaAfiliasi tidak diketahui3
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Arif WicaksonoAfiliasi tidak diketahui3
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Dedy IrawanAfiliasi tidak diketahui3
Liemena Harold AdrianAfiliasi tidak diketahui3
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Irma KameliaAfiliasi tidak diketahui2
Ardhani GalihAfiliasi tidak diketahui2
Ratna PancasariAfiliasi tidak diketahui2
Fahmy RusnantaAfiliasi tidak diketahui2
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Sumber metadata: OAI-PMH (metadata jurnal) https://heartscience.ub.ac.id/index.php/heartscience/oai, pertama di-harvest 8 Nov 2026, terakhir terlihat 8 Nov 2026.
Metadata asli (oai_dc) 
<oai_dc:dc xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/  http://www.openarchives.org/OAI/2.0/oai_dc.xsd">
	<dc:title xml:lang="en">Endovascular Stenting for Critical Limb Ischemia Patient with Superficial Femoral Artery Occlusive Disease: A Case Report</dc:title>
	<dc:creator xml:lang="en">Ramadhan, Mohammad Ryan</dc:creator>
	<dc:creator xml:lang="en">Kurnianingsih, Novi</dc:creator>
	<dc:creator xml:lang="en">Sargowo, Djanggan</dc:creator>
	<dc:creator xml:lang="en">Tjahjono, Cholid Tri</dc:creator>
	<dc:subject xml:lang="en">Critical Limb Ischemia</dc:subject>
	<dc:subject xml:lang="en">Endovascular stenting</dc:subject>
	<dc:subject xml:lang="en">superficial femoral artery</dc:subject>
	<dc:description xml:lang="en">BACKGROUND: Critical limb ischemia (CLI) is a terminal stage of peripheral arterial disease (PAD), in the absence of intervention, may lead to lower extremity amputation or death. In cases where medical management is not effective or severe cases of PAD, endovascular and surgical interventions are indicated.2 Endovascular interventions become a first-line approach of CLI management and have advanced considerably within the past decade.1,3CASE DESCRIPTION: A 73-year old female with complain of left leg pain, accompanied with necrotic wound since 6 months ago. Duplex ultrasound showed no-flow from proximal to distal left superficial femoral artery (SFA). From CT-Angiography showed total occlusion from proximal left SFA to proximal poplitea artery about 7,2cm with collateral vessels. She was diagnosed with CLI left inferior extremity Fontaine IV Rutherford III. Angiography inferior extrimities was performed with total occlusion from proximal to distal left SFA with collateral vessels run to distal. We deployed a self-expanding stent with size 6mmx100mmx120cm at proximal-mid SFA. The patient showed improvement and was discharged after 5-days observationDISCUSSION: Patients with CLI have high risk of limb-loss without revascularization and high short term risk of cardiovascular events. Endovascular revascularization of femoro-popliteal occlusive offers lower initial risks than open surgery, with grade IIB-recommendation for lesion less than 25cm. Clinical success of endovascular stenting on CLI usually synonymous to limb salvageCONCLUSION:Favorable results can be achieved with endovascular stenting approach in patients with CLI, where close follow-up treatment afterwards can save limb loss.</dc:description>
	<dc:publisher xml:lang="en">Universitas Brawijaya</dc:publisher>
	<dc:date>2020-04-01</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>https://heartscience.ub.ac.id/index.php/heartscience/article/view/27</dc:identifier>
	<dc:identifier>10.21776/ub.hsj.2020.001.01.7</dc:identifier>
	<dc:source xml:lang="en">Heart Science Journal; Vol. 1 No. 1 (2020): The Importance of Adherence to The Guidelines; 30-34</dc:source>
	<dc:source>2721-9984</dc:source>
	<dc:source>2721-9976</dc:source>
	<dc:source>10.21776/ub.hsj.2020.001.01</dc:source>
	<dc:language>en</dc:language>
	<dc:relation>https://heartscience.ub.ac.id/index.php/heartscience/article/view/27/336</dc:relation>
	<dc:rights xml:lang="en">Copyright (c) 2020 Heart Science Journal</dc:rights>
</oai_dc:dc>