Impact of a bidirectional approach via radial and popliteal arteries for the treatment of chronic total occlusion of lower limb artery: A case report

Autor:	Shogo Imagawa, Noriaki Kishimoto, Hiroyuki Tsutsui, Naotsugu Oyama, Hidetsugu Sakai
Rok vydání:	2007
Předmět:	medicine.medical_specialty medicine.diagnostic_test business.industry Case Report medicine.disease Left Common Iliac Artery Total occlusion Lower limb Peripheral Surgery Prone position Stenosis medicine.anatomical_structure Angiography medicine Cardiology and Cardiovascular Medicine business Artery
Zdroj:	International Journal of Angiology. 16:27-30
ISSN:	1615-5939 1061-1711
DOI:	10.1055/s-0031-1278241
Popis:	A 49-year-old man with poorly controlled diabetes was admitted to Kushiro Rosai Hospital, Hokkaido, Japan after scalding both feet with boiling water. Because of poor healing, he was assessed for peripheral arterial disease. Angiography revealed total occlusion of the right common and external iliac arteries, diffuse stenosis of the right superficial femoral artery, focal stenosis of the left common iliac artery and chronic total occlusion of the left superficial femoral artery. A staged procedure with bidirectional approach via the radial and popliteal arteries was attempted. During the procedures, the patient was in the prone position on the catheterization table, and bidirectional guidewire manipulation was performed. All of the lesions were successfully stented. The patient was not required to change positions during the procedure, which can be performed by a single operator. The bidirectional approach is effective in the setting of transcatheter treatment of chronic total occlusive disease.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::70c9636db946da1a1db3747c73590717 https://doi.org/10.1055/s-0031-1278241 Zobrazit plný text záznamu