التفاصيل البيبلوغرافية
| العنوان: |
Introduction of novel intravascular ultrasound preceding with angled guiding catheter (I-PAD) technique to treat chronic total occlusions in peripheral artery disease. |
| المؤلفون: |
Sobajima, Mitsuo, Imamura, Teruhiko, Ueno, Yohei, Onoda, Hiroshi, Ushijima, Ryuichi, Ueno, Hiroshi, Kinugawa, Koichiro |
| المصدر: |
CVIR Endovascular; 7/11/2024, Vol. 7 Issue 1, p1-4, 4p |
| مصطلحات موضوعية: |
CHRONIC total occlusion, PERIPHERAL vascular diseases, INTRAVASCULAR ultrasonography, ARTERIAL occlusions, CATHETERS, INTERMITTENT claudication |
| مستخلص: |
Background: The optimal endovascular treatment (EVT) for chronic total occlusion (CTO) lesions in patients with peripheral artery disease (PAD) has remained unestablished. We encountered a patient with PAD in whom CTO was successfully treated using a novel technique that involved intravascular ultrasound (IVUS) and angled guiding catheter: IVUS Preceding with Angled guiDing catheter (I-PAD) technique. Case presentation: A 74-year-old male presented with intermittent claudication attributed to CTO of the right external iliac artery. EVT was performed via the right common femoral artery. We retrogradely advanced the I-PAD system (i.e. partially extending the IVUS transducer portion from the tip of the angled guiding catheter) in the CTO lesion under the real-time guidance of IVUS imaging. We successfully traversed the CTO lesion without the use of a guidewire in approximately three minutes. The procedure concluded successfully without any procedure-related complications, following optimal stenting. Conclusions: The I-PAD might be an effective technique to accurately, quickly, and safely pass through CTO lesions. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
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