Korean J Med.  2018 Aug;93(4):393-397. 10.3904/kjm.2018.93.4.393.

Successful Endovascular Therapy for Bilateral Popliteal Thrombotic Occlusions

Affiliations
  • 1Division of Cardiology, Department of Internal Medicine, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea. swrha617@yahoo.co.kr

Abstract

The popliteal artery is a relatively short vascular structure, but acute occlusion can decrease blood flow into the lower extremities and cause subsequent critical limb ischemia, amputation, and even mortality. Further, peripheral artery disease patients frequently have combined cardio-cerebrovascular disease. Here, we report a rare case of sudden bilateral thrombotic total occlusion in the popliteal arteries of a patient with dilated cardiomyopathy and left ventricular thrombi. This patient has been successfully managed by endovascular therapy and subsequent intra-arterial thrombolytic therapy.

Keyword

Popliteal artery; Thromboembolism; Angioplasty

MeSH Terms

Amputation
Angioplasty
Cardiomyopathy, Dilated
Extremities
Humans
Ischemia
Lower Extremity
Mortality
Peripheral Arterial Disease
Popliteal Artery
Thromboembolism
Thrombolytic Therapy
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