Endovascular therapy with intravascular ultrasound guidance for popliteal artery occlusion due to blunt trauma

Abstract

Background: Historically, popliteal artery occlusion due to blunt trauma has led to high amputation rate and been thought that indication for traditional open operative repair in almost all of cases. Case: A healthy male in his 30s transferred to the advanced wound care center at our hospital because unhealed wound and popliteal artery occlusion due to blunt trauma after traffic accident. Surgical repair was planned, but was postponed due to wound contamination. Endovascular therapy was selected and balloon angioplasty was performed with intravascular ultrasound (IVUS) guidance successfully. Thereafter wound management, wounds were successfully cured at 3 months after admission. Conclusion: Popliteal artery occlusion due to blunt trauma resulted in lower leg necrosis and successful lower leg preservation was achieved by EVT with using IVUS Keywords: Endovascular therapy, Popliteal artery occlusion, Trauma