The 'Needle bypass' technique: Percutaneous anatomical bypass with needle rendezvous for patients with peripheral arterial disease that have no other surgical options
| Autor: | Umihiko Kaneko, Takuya Haraguchi, Ken Kobayashi, Yoshifumi Kashima, Katsuhiko Sato, Daitaro Kanno, Tsuyoshi Takeuchi, Tsutomu Fujita, Daisuke Hachinohe, Yutaka Tadano, Masanaga Tsujimoto |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Percutaneous New Technologies medicine.medical_treatment Bypass Ischemia Femoral artery Revascularization medicine.artery Peripheral arterial disease Stent graft medicine Diseases of the circulatory (Cardiovascular) system Radiology Nuclear Medicine and imaging Femoropopliteal artery disease Endovascular intervention medicine.diagnostic_test business.industry Stent Critical limb ischemia Interventional radiology medicine.disease Surgery medicine.anatomical_structure RC666-701 medicine.symptom Cardiology and Cardiovascular Medicine business Artery |
| Zdroj: | CVIR Endovascular CVIR Endovascular, Vol 4, Iss 1, Pp 1-5 (2021) |
| ISSN: | 2520-8934 |
| Popis: | Background The ideal method for recanalization of complex peripheral lesions has not been determined, despite the use of the latest endovascular devices. We describe a novel method for a fully percutaneous anatomical bypass, named the “needle bypass” technique, for treatment of complex vascular lesions with failed previous surgical therapy. Main text A 68-year-old male patient with chronic limb-threatening ischemia presented to our department. He previously had received surgical treatment 10 years prior that included the removal of the right distal common femoral artery and two surgical bypasses, an axillary-femoral bypass and an iliofemoral bypass, because he had repeated infections. He was referred to our center in order to have peripheral interventions. Since the previous conventional bridging/revascularization of the removed common femoral bifurcation had failed, the “needle bypass” technique was then used. With this novel technique, the tips of two percutaneous and bidirectional inserted needles were aligned (“needle rendezvous”) for the externalization of a guidewire in a through-and-through manner. Once this was achieved, an endovascular stent graft and an interwoven stent were deployed to cover and connect the lesion. This new technique is a minimally invasive anatomical bypass that directly connects artery to artery without any disturbance of the venous flow, and this technique, as the only option available, was performed successfully in our no-option patient. Conclusions The “needle bypass” technique is an effective percutaneous treatment method in patients with no other surgical options. |
| Databáze: | OpenAIRE |
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