Korean J Med.
2006 Oct;71(4):420-425.
A case of subintimal balloon angioplasty in Buerger's disease
- Affiliations
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- 1Department of Internal Medicine Division of Cardiology, Yonsei Cardiovascular Center, Yonsei University College of Medicine, Seoul, Korea. ygko@yumc.yonsei.ac.kr
Abstract
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A 27-year-old male was admitted with a three week history of pain and gangrenous changes of his first to fourth right foot toes. Clinical, laboratory and angiographic findings were consistent with Buerger's disease. The patient was treated by subintimal balloon angioplasty of the right anterior tibial artery. The percutaneous subintimal angioplasty was successful, and the patient symptoms and the ankle brachial index was improved. The value of subintimal angioplasty in limb-threatening ischemia in Buerger's disease, has not been established but this case illustrates a role for subintimal angioplasty in acute ischemia.