0:00

All right. In our next case, again, it's a follow-up of that same patient.

0:03

So that same patient who had thrombosis of his entire graft, they

0:07

underwent an embolectomy. Basically, they just tried to remove all the

0:11

thrombus out of their bypass graft, and they got repeat imaging.

0:14

So on the repeat imaging, again, we're just going to focus on that

0:18

left lower extremity arterial vasculature.

0:23

And here, compared to that scan we just saw where everything was

0:26

completely occluded,

0:29

you can see that there's improved opacification.

0:32

There's some opacification now of that ostium of that deep femoral

0:36

artery right here, which remains patent as well.

0:40

And there's also now opacification of that bypass

0:43

graft itself, although agree that there is

0:47

areas of severe stenosis right here. It's not completely patent.

0:51

It's not mildly patent. You still see a lot of this hypodense filling

0:55

defect within. That's all residual thrombus, and

0:59

so all of this is just residual thrombus within this bypass

1:03

graft right here. We can see that it's causing varying

1:06

degrees of stenosis throughout. In some areas it's mild.

1:10

In other areas, like here, it's severe.

1:13

And then, more distally, it does remain occluded.

1:16

So there are different degrees of stenoses that can

1:20

happen in a graft, ranging all the way from mild,

1:26

like at this level, moderate, like at this level,

1:29

severe, all the way to occluded.

1:32

Distally, again, there's some reconstitution, whereas

1:36

the graft to the anterior tibial artery remains occluded.