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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) · pp. 30–34

DOI
10.21776/ub.hsj.2020.001.01.7
ISSN
2721-9984, 2721-9976
Published
2020-04-01
Publisher
Universitas Brawijaya
Language
en

Abstract

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.

Keywords

Collaboration network of the authors

40 authors · 271 co-authorship links · showing the 40 most connected

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  • University of Brawijaya
  • Affiliation unknown
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Co-authorOrganisationJoint articles
Mohammad Saifur RohmanAffiliation unknown38
Anna Fuji RahimahAffiliation unknown30
Sasmojo WiditoAffiliation unknown24
Budi SatrijoAffiliation unknown21
Ardian RizalAffiliation unknown19
Heny MartiniAffiliation unknown19
Setyasih AnjarwaniAffiliation unknown15
Indra PrasetyaAffiliation unknown13
Yoga WaranugrahaAffiliation unknown6
Sawitri SatwikajatiAffiliation unknown5
Zainal FathurohimAffiliation unknown5
Seprian WidasmaraAffiliation unknown4
Adhika Prastya WikanandaAffiliation unknown4
Saskia Dyah HandariAffiliation unknown4
Putri Annisa KamilaUniversity of Brawijaya4
Dadang HendrawanAffiliation unknown4
Ayu Asri Devi AdityawatiAffiliation unknown4
Muhammad Rizki FadlanAffiliation unknown4
Dyah Ayu IkeningrumAffiliation unknown4
Teguh AryanugrahaAffiliation unknown4
Wella KarolinaAffiliation unknown4
Valerinna YogibuanaAffiliation unknown3
Oktafin Srywati PamunaAffiliation unknown3
Arif WicaksonoAffiliation unknown3
Evit RuspionoAffiliation unknown3
Dedy IrawanAffiliation unknown3
Liemena Harold AdrianAffiliation unknown3
Tonny AdriyantoAffiliation unknown2
Irma KameliaAffiliation unknown2
Ardhani GalihAffiliation unknown2
Ratna PancasariAffiliation unknown2
Fahmy RusnantaAffiliation unknown2
Imelda KrisnasariAffiliation unknown2
Pawik SupriadiAffiliation unknown2
Wira Kimahesa AnggoroAffiliation unknown2
Tri AstiawatiAffiliation unknown2

Affiliations come from OpenAlex; journal OAI-PMH metadata carries none. Authors without an OpenAlex ID are matched by name, which can merge or split people.

Metadata source: OAI-PMH (metadata jurnal) https://heartscience.ub.ac.id/index.php/heartscience/oai, first harvested 8 Nov 2026, last seen 8 Nov 2026.
Original metadata (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>