Revascularization of superficial femoral artery due to chronic total occlusion: Collateral approach

Area of Science:

• Vascular Surgery
• Interventional Cardiology
• Endovascular Interventions

Background:

• Endovascular interventions are increasingly utilized for femoropopliteal occlusions.
• Antegrade passage is the preferred initial approach for these interventions.

Observation:

• Failure of antegrade passage necessitates alternative strategies, including retrograde or collateral approaches.
• Collateral passage, though associated with potential complications, can be effective in select cases.

Findings:

• This case report details the successful endovascular treatment of a superficial femoral artery occlusion.
• A collateral approach was employed to successfully open the occluded artery.

Implications:

• The collateral approach represents a viable, albeit less common, strategy for managing complex femoropopliteal occlusions.
• Successful application in experienced centers highlights its potential role in challenging endovascular cases.