Endovascular revascularization of a surgically ligated superficial femoral artery: A case report

Kalkidan Bishu, Ehrin J. Armstrong

Research output: Contribution to journalArticlepeer-review


We present a case of a patient with left lower extremity ischemic rest pain who initially underwent surgical profundaplasty requiring ligation of his superficial femoral artery (SFA). The patient developed continued rest pain due to diffuse disease of his profunda and inadequate collaterals. Endovascular intervention was therefore performed to the oversewn SFA. Retrograde left SFA access was obtained and the origin of the SFA was recanalized with true lumen re-entry using an ultrasound guided re-entry catheter. Angioplasty was performed at the origin of the SFA and self-expanding stents were deployed in the proximal and mid left SFA. Hemostasis at the distal left SFA access site was obtained by balloon inflation at the access site and manual compression. This case illustrates the feasibility of endovascular repair of a ligated SFA.

Original languageEnglish (US)
Pages (from-to)1236-1241
Number of pages6
JournalCatheterization and Cardiovascular Interventions
Issue number7
StatePublished - Dec 1 2015
Externally publishedYes


  • angiography
  • endovascular intervention
  • peripheral intervention
  • peripheral/renal

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Radiology Nuclear Medicine and imaging


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