Abstract

Treatment of the lesions located in the popliteal artery and superficial femoral artery are potentially clinical challenge because of the long length of lesions, high- calcium content in the vessel wall and inside the plaques, and individual dynamic forces found within these vessels. Intraluminal or subintimal recanalization of the vessel lumen is achieved mostly by ipsilateral antegrade or contralateral retrograde femoral approach in the treatment of total occlusion of the superficial femoral artery. In the event of failure, retrograde access into the popliteal artery is considered as an essentially different method. In our case report, we aimed to present rescue retrograde popliteal intervention following an unsuccessful antegrade approach which resulted in an unexpected atherothrombotic complication that occurred in the common iliac artery of the contralateral site.

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