Lots of interesting abstracts and cases were submitted for TCTAP 2022. Below are the accepted ones after a thorough review by our official reviewers. Don’t miss the opportunity to expand your knowledge and interact with authors as well as virtual participants by sharing your opinion in the comment section!
TCTAP C-147
The Endovascular Treatment of Chronic Limbs Threatening Ischemia in a Patient With Spinal Cord Injury
By Je Hyung Park, Dong Hyun Kim, Jin-Ho Mun, Sang-Su Lee
Presenter
Je Hyung Park
Authors
Je Hyung Park1, Dong Hyun Kim1, Jin-Ho Mun1, Sang-Su Lee1
Affiliation
Pusan National University Yangsan Hospital, Korea (Republic of)1,
View Study Report
TCTAP C-147
ENDOVASCULAR - Peripheral Vascular Disease and Intervention
The Endovascular Treatment of Chronic Limbs Threatening Ischemia in a Patient With Spinal Cord Injury
Je Hyung Park1, Dong Hyun Kim1, Jin-Ho Mun1, Sang-Su Lee1
Pusan National University Yangsan Hospital, Korea (Republic of)1,
Clinical Information
Patient initials or Identifier Number
CCL
Relevant Clinical History and Physical Exam
This case is a 69-year-old patient with spinal cord injury and paralysis on both sides due to an accident that occurred while working at a factory 30 years ago.
A pressure sore on the right ankle has occurred since 3 years ago, and plastic surgery continued to treat it, but the wound did not improve.
A pressure sore on the right ankle has occurred since 3 years ago, and plastic surgery continued to treat it, but the wound did not improve.
Relevant Test Results Prior to Catheterization
The preoperative ABI was as low as 0.2 in the right lower extremity and 0.3 in the left lower extremity.
In the CT angiography, the diameter of peripheral artery in both lower extremities was generally too small, and diffuse calcification was observed. In particular, the middle part of the right superficial femoral artery was occluded.
In the CT angiography, the diameter of peripheral artery in both lower extremities was generally too small, and diffuse calcification was observed. In particular, the middle part of the right superficial femoral artery was occluded.
Relevant Catheterization Findings
Stenosis of the right iliac artery was confirmed during intraoperative angiography.
The middle part of right superficial femoral artery was occluded.
The middle part of right superficial femoral artery was occluded.
Interventional Management
Procedural Step
Right common femoral artery cut-down because of endarterectomy.Right iliac artery had multifocal stenosis Balloon angioplasty performed with 6 mm x 15 cm balloon (Admiral, Medtronic, Santa Rosa, Califonia) at stenotic lesionmid part of right superficial femoral artery had total occlusion Preballoon was performed with 3-3.5 mm tapered balloon (Amphirion, Medtronic, Santa Rosa, Califonia) --> Drug coated balloon angioplasty performed 4 mm x 150 mm drug coated balloon (IN.PACT Admiral, Medtronic, Santa Rosa, Califonia)
Case Summary
Spinal cord injury (SCI) patients are known to have a significantly higher risk of developing PAD than those without SCI.
Pressure ulcers in people with SCI are taken for granted and are not treated appropriately.
If the healing of pressure sores is delayed, peripheral arterial disease should be suspected and appropriate treatment should be initiated.
Pressure ulcers in people with SCI are taken for granted and are not treated appropriately.
If the healing of pressure sores is delayed, peripheral arterial disease should be suspected and appropriate treatment should be initiated.