{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,26]],"date-time":"2026-04-26T10:13:20Z","timestamp":1777198400727,"version":"3.51.4"},"reference-count":14,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2022,9,23]],"date-time":"2022-09-23T00:00:00Z","timestamp":1663891200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,10,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Angioscopy plays an important role providing much information regarding vessel surfaces as macro-pathology in living patients. However, its viewing field is sometimes limited due to insufficient removal of blood flow and a catheter that cannot be controlled to view the intended direction. Angioscopy from a retrograde approach was found to overcome these limitations.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary<\/jats:title>\n                  <jats:p>A 68-year-old man was admitted to our hospital with acute intermittent claudication for 2 weeks. He was diagnosed with acute limb ischaemia (ALI) in his left superficial femoral artery, and revascularization by endovascular treatment was attempted. A bi-directional approach was needed for successful revascularization with thrombus aspiration and angioplasty. Subsequent angioscopic examination from the retrograde approach visualized a clear and adequate image of the vessel and helped identify the aetiology of the case as on-site thrombosis at an atherosclerotic lesion.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>It is important to understand the aetiology of ALI in each case for the management of the patient. Angioscopy can be a useful modality to identify the aetiology. It was found that retrograde angioscopy has several advantages over antegrade angioscopy in clear visualization and intentional control of the angioscopy catheter. This methodology may help us identify the aetiology of ALI by evaluating the vessel walls of patients with peripheral artery disease more precisely.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytac393","type":"journal-article","created":{"date-parts":[[2022,9,23]],"date-time":"2022-09-23T19:33:48Z","timestamp":1663961628000},"source":"Crossref","is-referenced-by-count":3,"title":["Case report of a peripheral artery disease patient with its aetiology clarified by retrograde angioscopy"],"prefix":"10.1093","volume":"6","author":[{"given":"Haruya","family":"Yamane","sequence":"first","affiliation":[{"name":"Cardiovascular Division, National Hospital Organization Osaka National Hospital , 2-1-14 HoenzakaChuo-ku, Osaka 540-0006 , Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0514-106X","authenticated-orcid":false,"given":"Yasunori","family":"Ueda","sequence":"additional","affiliation":[{"name":"Cardiovascular Division, National Hospital Organization Osaka National Hospital , 2-1-14 HoenzakaChuo-ku, Osaka 540-0006 , Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kuniyasu","family":"Ikeoka","sequence":"additional","affiliation":[{"name":"Cardiovascular Division, National Hospital Organization Osaka National Hospital , 2-1-14 HoenzakaChuo-ku, Osaka 540-0006 , Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0274-5052","authenticated-orcid":false,"given":"Shumpei","family":"Kosugi","sequence":"additional","affiliation":[{"name":"Cardiovascular Division, National Hospital Organization Osaka National Hospital , 2-1-14 HoenzakaChuo-ku, Osaka 540-0006 , Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2022,9,23]]},"reference":[{"key":"2022101010551046100_ytac393-B1","doi-asserted-by":"crossref","first-page":"333","DOI":"10.1016\/j.ahj.2004.03.047","article-title":"Assessment of plaque vulnerability by angioscopic classification of plaque color","volume":"148","author":"Ueda","year":"2004","journal-title":"Am Heart J"},{"key":"2022101010551046100_ytac393-B2","doi-asserted-by":"crossref","first-page":"742","DOI":"10.1253\/circj.CJ-15-0126","article-title":"Early detection of vulnerable atherosclerotic plaque for risk reduction of acute aortic rupture and thromboemboli and atheroemboli using non-obstructive angioscopy","volume":"79","author":"Komatsu","year":"2015","journal-title":"Circ J"},{"key":"2022101010551046100_ytac393-B3","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1016\/0735-1097(94)90417-0","article-title":"Neointimal coverage of stents in human coronary arteries observed by angioscopy","volume":"23","author":"Ueda","year":"1994","journal-title":"J Am Coll Cardiol"},{"key":"2022101010551046100_ytac393-B4","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1016\/j.ejvs.2019.09.006","article-title":"Editor\u2019s choice\u2014European Society for Vascular Surgery (ESVS) 2020 clinical practice guidelines on the management of acute limb ischaemia","volume":"59","author":"Bj\u00f6rck","year":"2020","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"2022101010551046100_ytac393-B5","doi-asserted-by":"crossref","first-page":"1465","DOI":"10.1016\/j.jacc.2016.11.008","article-title":"2016 AHA\/ACC guideline on the management of patients with lower extremity peripheral artery disease: executive summary: a report of the American College of Cardiology\/American Heart Association task force on clinical practice guidelines","volume":"69","author":"Gerhard-Herman","year":"2017","journal-title":"J Am Coll Cardiol"},{"key":"2022101010551046100_ytac393-B6","doi-asserted-by":"crossref","first-page":"2893","DOI":"10.1016\/j.jacc.2018.03.539","article-title":"Angioscopic evaluation of spontaneously ruptured aortic plaques","volume":"71","author":"Komatsu","year":"2018","journal-title":"J Am Coll Cardiol"},{"key":"2022101010551046100_ytac393-B7","first-page":"705","article-title":"Embolic stroke caused by aortic ruptured plaque and thrombus visualized by angioscopy","volume":"2","author":"Higuchi","year":"2020","journal-title":"J Am Coll Cardiol Case Rep"},{"key":"2022101010551046100_ytac393-B8","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1007\/s12410-015-9367-4","article-title":"Angioscopy in 2015: the role of macroscopic pathology in living patients","volume":"9","author":"Ueda","year":"2016","journal-title":"Curr Cardiovasc Imaging Rep"},{"key":"2022101010551046100_ytac393-B9","doi-asserted-by":"crossref","first-page":"411","DOI":"10.1253\/circj.CJ-09-0795","article-title":"Acute coronary syndrome: insight from angioscopy","volume":"74","author":"Ueda","year":"2010","journal-title":"Circ J"},{"key":"2022101010551046100_ytac393-B10","doi-asserted-by":"crossref","first-page":"616","DOI":"10.1016\/j.jcmg.2008.12.026","article-title":"Atherosclerotic and thrombogenic neointima formed over sirolimus drug-eluting stent. An angioscopic study","volume":"2","author":"Higo","year":"2009","journal-title":"JACC Cardiovasc Imaging"},{"key":"2022101010551046100_ytac393-B11","doi-asserted-by":"crossref","first-page":"606","DOI":"10.1016\/0735-1097(95)00534-X","article-title":"Intracoronary morphology of culprit lesions after reperfusion in acute myocardial infarction: serial angioscopic observations","volume":"27","author":"Ueda","year":"1996","journal-title":"J Am Coll Cardiol"},{"key":"2022101010551046100_ytac393-B12","doi-asserted-by":"crossref","first-page":"814","DOI":"10.1016\/j.jcin.2014.12.239","article-title":"In-stent yellow plaque at 1 year after implantation is associated with future event of very late stent failure: the DESNOTE study (detect the event of very late stent failure from the drug-eluting stent not well covered by neointima determined by angioscopy)","volume":"8","author":"Ueda","year":"2015","journal-title":"JACC Cardiovasc Interv"},{"key":"2022101010551046100_ytac393-B13","doi-asserted-by":"crossref","first-page":"2152","DOI":"10.1016\/j.jacc.2018.08.002","article-title":"Pathology of peripheral artery disease in patients with critical limb ischemia","volume":"72","author":"Narula","year":"2018","journal-title":"J Am Coll Cardiol"},{"key":"2022101010551046100_ytac393-B14","doi-asserted-by":"crossref","first-page":"839","DOI":"10.1177\/1526602816664768","article-title":"Tibiopedal access for crossing of infrainguinal artery occlusions: a prospective multicenter observational study","volume":"23","author":"Walker","year":"2016","journal-title":"J Endovasc Ther"}],"container-title":["European Heart Journal - Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ehjcr\/advance-article-pdf\/doi\/10.1093\/ehjcr\/ytac393\/45985023\/ytac393.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjcr\/article-pdf\/6\/10\/ytac393\/46403955\/ytac393.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjcr\/article-pdf\/6\/10\/ytac393\/46403955\/ytac393.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,10,10]],"date-time":"2022-10-10T10:56:23Z","timestamp":1665399383000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ehjcr\/article\/doi\/10.1093\/ehjcr\/ytac393\/6712571"}},"subtitle":[],"editor":[{"given":"Luke Joseph","family":"Laffin","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Vincenzo","family":"Nuzzi","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Panagiotis","family":"Xaplanteris","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Megha","family":"Agarwal","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Mariame","family":"Chakir","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2022,9,23]]},"references-count":14,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2022,10,8]]}},"URL":"https:\/\/doi.org\/10.1093\/ehjcr\/ytac393","relation":{},"ISSN":["2514-2119"],"issn-type":[{"value":"2514-2119","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2022,10,1]]},"published":{"date-parts":[[2022,9,23]]},"article-number":"ytac393"}}