The target of this examination was to exhibit the plausibility of subintimal implantation of self-growing entwined nitinol stents in patients with basic appendage compromising ischemia in the setting of persistently impeded shallow femoral conduit (SFA) and popliteal stents.

Recanalization with subintimal stenting was acted in four patients giving Rutherford 4-6 levels of ischemia. Every one of these patients had recently positioned stents in the SFA and popliteal conduit that had persistently thrombosed. What’s more, these patients were considered to be unsatisfactory for open detour as a result of restrictive usable comorbid conditions. Preprocedural blood vessel noninvasive examinations were performed, and the normal preprocedural lower leg brachial record (ABI) was 0.26. Patients were then taken for arteriography, and the SFA and popliteal vein were navigated subintimally and returned distal to the impeded stents (Fig 1). Consecutive expanding of the subintimal parcel was performed. To guarantee luminal patency, implantation of a self-extending intertwined nitinol stent was performed, invigorated the stent’s high outspread. Finish arteriography was performed to guarantee perfusion (Fig 2). Postprocedurally, blood vessel noninvasive examinations were performed to affirm sufficient perfusion for wound mending.

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