Embolic capture angioplasty of lower extremity lesion following distal embolization

Peripheral embolization is a known complication of peripheral artery interventions. It can lead to occlusion of distal vessels leading to significant lower extremity ischemia and complications. Peripheral artery interventions involving chronic total occlusions have been shown to have higher rates of complications including distal embolization. Although distal embolic protection strategies are available, they are seldom utilized during lower extremity interventions, especially during treatment of totally occluded vessels. Proteus embolic capture angioplasty balloon may provide operators with the option of balloon dilation of stenotic lesion in the peripheral arterial bed, along with embolic capture. We report a case where use of this novel device helped in achieving a successful angioplasty outcome along with evacuation of distal embolus and restoration of antegrade flow.