We read the article[1] and congratulate the authors for this successful treatment. On the other hand, we would like to clarify some points about the treatment of this patient.

It is understood from the article that the patient was already intubated before the endovascular procedure and bilateral femoral embolectomy could be also easily done urgently.[2] Thrombolysis and thrombus aspiration could have been used as an appropriate treatment for this patient with saddle embolism.[3] In this case, thrombolytic therapy could be considered before the thrombus aspiration or endovascular intervention. In addition, all femoropopliteal-tibioperoneal arterial structures should be scanned after the procedure. We are curious about your valuable comments about our contribution.

Sincerely,
Declaration of conflicting interests
The authors declared no conflicts of interest with respect to the authorship and/or publication of this article.

Funding
The authors received no financial support for the research and/or authorship of this article.

Author Reply
Dear Editor,

Compared to surgery, endovascular procedure was less invasive and more appropriate for our patient due to hemodynamic instability. In addition, as we noted in the manuscript, tissue plasminogen activator was given locally using a Judkins catheter before the procedure. Finally, we investigated the lower extremity arteries according to the presence of any thrombus material during index procedure.

Correspondence: Mustafa Topuz, MD. Sağlık Bilimleri Üniversitesi Adana Şehir Eğitim ve Araştırma Hastanesi Kardiyoloji Kliniği, 01260 Yüreğir, Adana, Turkey.

Tel: +90 322 - 455 90 0 0 e-mail: topuzm46@gmail.com

References

1) Topuz M, Kalay N, Bireciklioğlu F, Karabıyık U. Endovascular treatment of acute thromboembolic occlusion of distal aorta. Turk Gogus Kalp Dama 2018;26:326-7.

2) Teruya TH, Abou-Zamzam AM. Aortic saddle embolus. In: Hoballah J, Scott-Conner C, Chong H, editors. Operative Dictations in General and Vascular Surgery. Cham: Springer; 2017. p. 767-8.

3) Min J, Zhang G. Saddle embolism treated by thrombolysis and thrombus aspiration via bilateral femoral artery puncture catheter: A case report. Medicine (Baltimore) 2018;97:e0212.