The no-flow phenomenon following drug-coated balloon angioplasty in a patient with chronic limb-threatening ischemia and a history of below-knee amputation. Issue 3 (March 2023)

• Record Type: Journal Article
• Authors: Sobajima, Mituso; Imamura, Teruhiko; Fukuo, Atsuko; Ueno, Yohei; Onoda, Hiroshi; Ueno, Hiroshi; Kinugawa, Koichiro
• Is Part Of: Journal of cardiology cases. Volume 27:Issue 3(2023)
• Page Start: 132
• Page End: 135
• Publication Date: 2023-03
• Subjects: Endovascular treatment -- Drug-coated balloon -- Chronic limb-threatening ischemia -- No-flow phenomenon -- Downstream effect; Cardiology -- Periodicals; Cardiovascular Diseases -- Case Reports; Cardiovascular Diseases -- Periodicals; Cardiology -- Case Reports; Cardiology -- Periodicals; Cardiology; Electronic journals; Periodicals; 616.12
• DOI: 10.1016/j.jccase.2022.12.002
• Languages: English
• ISSNs: 1878-5409

Abstract

Abstract: The endovascular treatment using a drug-coated balloon (DCB) reduces restenosis and target vessel re-vascularization rate in patients with peripheral artery disease such as claudication and chronic limb-threatening ischemia (CLTI). However, its safety and efficacy in patients with post-below-knee amputation remain unknown. We had a patient with CLTI and a history of below-knee amputation, who suffered a no-flow phenomenon following DCB angioplasty that required above-knee amputation. DCB angioplasty might not be appropriate for those with severe CLTI and histories of amputation. Learning objective: The present report describes the risk of endovascular treatment using a drug-coated balloon for chronic limb-threatening ischemia patients with a below-knee amputated limb.