تقرير
Open axillary approach alternative access for stenting of external iliac total occlusion.
| العنوان: | Open axillary approach alternative access for stenting of external iliac total occlusion. |
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| المؤلفون: | Aimanan K; Department of Surgery, Kuala Lumpur Hospital, Kuala Lumpur, Malaysia., Pian PM; Department of Surgery, Kuala Lumpur Hospital, Kuala Lumpur, Malaysia., Pillay KVK; Department of Surgery, Kuala Lumpur Hospital, Kuala Lumpur, Malaysia., Hayati F; Department of Surgery, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia., Hussein H; Department of Surgery, Kuala Lumpur Hospital, Kuala Lumpur, Malaysia. |
| المصدر: | Radiology case reports [Radiol Case Rep] 2022 Apr 07; Vol. 17 (6), pp. 1959-1962. Date of Electronic Publication: 2022 Apr 07 (Print Publication: 2022). |
| نوع المنشور: | Case Reports |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Country of Publication: Netherlands NLM ID: 101467888 Publication Model: eCollection Cited Medium: Print ISSN: 1930-0433 (Print) Linking ISSN: 19300433 NLM ISO Abbreviation: Radiol Case Rep Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Publication: 2015-: Amsterdam : Elsevier Original Publication: Seattle, WA : University of Washington, 2006- |
| مستخلص: | A primary endovascular approach is the mainstay of intervention for type C aortoiliac disease. When the femoral artery is unsuitable, upper extremity access can be critical in the setting of severe tortuosity or occlusive disease. The axillary artery represents alternative upper extremity access that may accommodate larger sheath sizes for therapeutic interventions. A 44-year-old gentleman with a history of right below-knee amputation was referred to the vascular unit with a left foot non-healing wound post wound debridement for diabetic foot ulcer. On examination, the left foot was non-salvageable with pitting oedema extended until knee level. Left lower limb pulses were non-palpable from femoral downwards. A biphasic signal was audible at the left femoral and monophasic at the popliteal. Photoplethysmography showed poor flow distally. Computed tomography angiogram revealed a 12 cm long segment total occlusion of the left external iliac artery just below the bifurcation of iliac vessel. On the right side, there was a long segment occlusion of the superficial femoral artery and calcified common femoral artery. The left axillary artery was used as an access and angioplasty was performed successfully. The advantages of upper extremity access in the axillary artery include the relatively large size and lower atherosclerotic burden. Larger profile stents for aortoiliac occlusion can easily be handled with a good strength through an axillary approach which is antegrade compared to a retrograde femoral approach. With the advancement of safety features of endovascular devices complications with an axillary approach have become less in the recent era. (© 2022 The Authors.) |
| References: | Int J Cardiol. 2017 Apr 1;232:247-254. (PMID: 28118931) Catheter Cardiovasc Interv. 2019 Jun 1;93(7):1311-1314. (PMID: 30920716) J Vasc Surg. 2006 May;43(5):879-86; discussion 886-7. (PMID: 16678676) Radiology. 1989 Oct;173(1):149-54. (PMID: 2675180) JACC Cardiovasc Interv. 2012 May;5(5):477-486. (PMID: 22625184) AJR Am J Roentgenol. 1976 Feb;126(2):386-93. (PMID: 175708) J Vasc Interv Radiol. 2010 Jun;21(6):842-7. (PMID: 20494289) |
| فهرسة مساهمة: | Keywords: Aortoiliac occlusion; Axillary artery approach; External iliac stenting |
| تواريخ الأحداث: | Date Created: 20220418 Latest Revision: 20220716 |
| رمز التحديث: | 20221213 |
| مُعرف محوري في PubMed: | PMC9010893 |
| DOI: | 10.1016/j.radcr.2022.03.022 |
| PMID: | 35432678 |
| قاعدة البيانات: | MEDLINE |
Full Text via ClinicalKey 
Full Text Finder | تدمد: | 1930-0433 |
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| DOI: | 10.1016/j.radcr.2022.03.022 |