Heavily calcified chronic total occlusion of common iliac artery successfully treated with Tornus microcatheter and rotational atherectomy Masahiko Hara,

Slides:

Advertisements

Similar presentations

Ultrasound measurement of the luminal diameter of the abdominal aorta and iliac arteries in patients without vascular disease Ole Martin Pedersen, MD,

Advertisements

Elizabeth Hitchner, MA, Mohamed A

Bedside vena cava filter placement with intravascular ultrasound: A simple, accurate, single venous access method Donald L. Jacobs, MD, Raghunandan L.

Bidirectional endovascular treatment for chronic total occlusive lesions of the femoropopliteal arterial segment using a hand-carried ultrasound device.

Fenestrated and branched devices in the pipeline

Intraprocedural imaging: Thoracic aortography techniques, intravascular ultrasound, and special equipment Rodney A. White, MD, Carlos E. Donayre, MD,

Mohammed Al-Omran, MD, MSc Journal of Vascular Surgery

Endovascular techniques for arch vessel reconstruction

Brian G. Peterson, MD, Jon S. Matsumura, MD

Jacques Kpodonu, MD, Venkatesh G. Ramaiah, MD, Edward B. Diethrich, MD

Intravascular ultrasonography allows accurate assessment of abdominal aortic aneurysm: An in vitro validation study Jeroen A. van Essen, MD, Aad van.

Results of polytetrafluoroethylene-covered nitinol stents crossing the inguinal ligament Keith D. Calligaro, MD, Praveen Balraj, MD, Neil Moudgill, MD,

Bidirectional endovascular treatment for chronic total occlusive lesions of the femoropopliteal arterial segment using a hand-carried ultrasound device.

Vocal cord paralysis after aortic arch surgery: Predictors and clinical outcome Noriyuki Ohta, MD, PhD, Toru Kuratani, MD, PhD, Satoshi Hagihira, MD,

Georgios A. Pitoulias, MD, PhD, Konstantinos P

Mark C. Svendsen, PhD, A. George Akingba, MD, Anjan K

Toronto PowerWire fenestration technique to access false lumen branches in fenestrated endovascular aneurysm repair for chronic type B dissection Steffan.

Douglas M. Cavaye, FRACS, William J. French, MD, Rodney A

Tongue necrosis as an unusual presentation of carotid artery stenosis

Clinical significance of embolic events in patients undergoing endovascular femoropopliteal interventions with or without embolic protection devices

Magnetic Resonance Imaging Characteristics of Peripheral Arterial Lesions Relate to the Difficulty of Endovascular Procedures Trisha L. Roy, BASc, MD,

A single-center experience treating renal malperfusion after aortic dissection with central aortic fenestration and renal artery stenting Dawn M. Barnes,

Bruce A. Perler, MD, MBA Journal of Vascular Surgery

Karan Garg, MD, Todd L. Berland, MD, Frank J. Veith, MD, Neal S

A multicenter experience evaluating chronic total occlusion crossing with the Wildcat catheter (the CONNECT study) John P. Pigott, MD, FACS, M. Laiq.

True lumen re-entry devices facilitate subintimal angioplasty and stenting of total chronic occlusions: Initial report Donald L. Jacobs, MD, Raghunandan.

Endovascular stent graft for symptomatic mobile thrombus of the thoracic aorta Philipp Fueglistaler, MD, Thomas Wolff, MD, Lorenz Guerke, MD, Peter Stierli,

Osami Kawarada, MD, Yoshiaki Yokoi, MD, PhD, Kazushi Takemoto, MT

The first operation on the profunda femoris artery

Geetha Jeyabalan, MD, Justin R

Recanalization of flush iliac occlusions with the assistance of a contralateral iliac occlusive balloon Carlos F. Bechara, MD, MS, Neal R. Barshes, MD,

Christopher L. Stout, MD, Eric C. Scott, MD, Gordon K

M. R. Sapoval, MD, B. Beyssen, MD, J. Y. Pagny, MD, E

Stent misalignment of the Zenith Dissection Endovascular System

Mark F. Conrad, MD, Robert S. Crawford, MD, Christopher J

Techniques in occluding the aorta during endovascular repair of ruptured abdominal aortic aneurysms Mark Edward O’Donnell, DSEM, MRCS, Stephen A. Badger,

Limitations of the Outback LTD re-entry device in femoropopliteal chronic total occlusions Susanna H. Shin, MD, Donald Baril, MD, Rabih Chaer, MD, Robert.

Outcomes of the single-stent versus kissing-stents technique in asymmetric complex aortoiliac bifurcation lesions Yongsung Suh, MD, Young-Guk Ko, MD,

Sridevi R. Pitta, MBBS, Gregory W

Jaap-Peter Schuurman, MD, Jean Paul P. M

Technical aspects of repair of juxtarenal abdominal aortic aneurysms using the Zenith fenestrated endovascular stent graft Gustavo S. Oderich, MD, Mateus.

Endovascular repair of an iliac artery aneurysm in a patient with Ehlers-Danlos syndrome type IV Britt H. Tonnessen, MD, W. Charles Sternbergh, MD, Krishna.

Ultrasound-guided percutaneous endovascular aneurysm repair success is predicted by access vessel diameter Rodney P. Bensley, MD, Rob Hurks, MD, Zhen.

Tear size and location impacts false lumen pressure in an ex vivo model of chronic type B aortic dissection Thomas T. Tsai, MD, Marty S. Schlicht, MS,

Late complications of thoracic endografts

Retrograde popliteal approach for challenging occlusions of the femoral-popliteal arteries Meng Ye, PhD, MD, Hao Zhang, MD, PhD, Xiaozhong Huang, MD,

Juan Carlos Parodi, MD Journal of Vascular Surgery

Anatomic factors associated with acute endograft collapse after Gore TAG treatment of thoracic aortic dissection or traumatic rupture Bart E. Muhs, MD,

Douglas M. Cavaye, FRACS, Rodney A. White, MD, George E

Joss D. Fernandez, MD, John M. Craig, MD, H

Aortic dissection: Percutaneous management of ischemic complications with endovascular stents and balloon fenestration Suzanne M. Slonim, MD, Ulf Nyman,

Juan Carlos Jimenez, MD, Wesley S. Moore, MD, William J

Criteria for defining significant central vein stenosis with duplex ultrasound Nicos Labropoulos, PhD, DIC, RVT, Marc Borge, MD, Kenneth Pierce, MD, Peter.

Prolonged renal artery occlusion after endovascular aneurysm repair: Endovascular rescue and renal function salvage Nasim Hedayati, MD, Peter H. Lin,

Sean P. Lyden, MD Journal of Vascular Surgery

Efficacy of stent-supported subintimal angioplasty in the treatment of long iliac artery occlusions Young-Guk Ko, MD, Sanghoon Shin, MD, Kwang Joon Kim,

Duplex-guided balloon angioplasty and stenting for femoropopliteal arterial occlusive disease: An alternative in patients with renal insufficiency Enrico.

Endovascular management of thoracic aortic aneurysms

Mark A. Farber, MD, Robert R. Mendes, MD Journal of Vascular Surgery

Traumatic internal carotid artery injury treated with overlapping bare metal stents under intravascular ultrasound guidance Victoria Stager, MD, Rajesh.

Boonprasit Kritpracha, MD, Anthony J. Comerota, MD,

Ignacio Hernández-Lahoz, MD, Raul Garcia-Casas, MD

S. Marlene Grenon, MDCM, MMSc, FRCSC, Linda M. Reilly, MD, Ventakesh G

Revascularization of the Left Subclavian Artery during TEVAR Utilizing a Percutaneous In-Situ Technique Frank R. Arko, Taylor A. Smith, J. Michael Dimaio

Excimer laser—assisted femoral angioplasty: Early results

Mark O. Baerlocher, BSc, Dheeraj K. Rajan, MD, FRCPC, FSIR, Douglas J

Ioannis Prionidis, MD, Tom F. Browne Journal of Vascular Surgery

Duplex-guided endovascular treatment for occlusive and stenotic lesions of the femoral- popliteal arterial segment: A comparative study in the first 253.

John L. Anderson, Donald J. Adam, MD, Michael Berce, David E. Hartley

Fenestrated endograft for recurrent paravisceral aortic pseudoaneurysm after thoracoabdominal aortic aneurysm open repair Mauro Gargiulo, MD, PhD, Enrico.

Presentation transcript:

Heavily calcified chronic total occlusion of common iliac artery successfully treated with Tornus microcatheter and rotational atherectomy Masahiko Hara, MD, Masami Nishino, MD, PhD, Ken Matsuoka, MD, Yoshio Yamada, MD, PhD Journal of Vascular Surgery Volume 48, Issue 3, Pages 758-760 (September 2008) DOI: 10.1016/j.jvs.2008.05.059 Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

Fig 1 Top, Schematic illustration and (Bottom) photograph show the 2.1F Tornus (Asahi Intecc, Aichi, Japan) microcatheter. It is made of eight pieces of stainless steel wire rope into a spiral structure that provides high penetration power through its screwing effect. Journal of Vascular Surgery 2008 48, 758-760DOI: (10.1016/j.jvs.2008.05.059) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

Fig 2 a, Arteriogram demonstrates a heavily calcified chronic total occlusion of the right common iliac artery. b, First, we managed to cross a guidewire using a 6F long sheath, 4.2F internal mammary artery catheter, and 2.4F microcatheter. c, Because the microcatheter and 1.5- × 6-mm balloon catheter could not cross the lesion, we advanced the Tornus penetration microcatheter (Asahi Intecc, Aichi, Japan) into the vessel. d, We exchanged the guidewire with a RotaWire floppy (Boston Scientific, Natick, Mass), and rotational atherectomy was performed, which led to stent implantation. e, Final arteriography after stent implantation revealed satisfactory morphologic results. Journal of Vascular Surgery 2008 48, 758-760DOI: (10.1016/j.jvs.2008.05.059) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

Fig 3 Before stenting, the (a) short-axis and (b) long-axis views with intravascular ultrasound (IVUS) showed heavily calcified stenotic lesions. Quantitative assessments using IVUS revealed that the minimum lumen diameter was 2 mm, reference diameter of the proximal portion of the lesion was 10 mm, distal reference was 9 mm, and the exact lesion length was 45 mm. After stenting with a postdilatation technique, the (c) short-axis and (d) long-axis views of IVUS demonstrated round symmetrical expansion of the stent and a sufficient aortic lumen, with a minimum stent diameter of 7 mm. Journal of Vascular Surgery 2008 48, 758-760DOI: (10.1016/j.jvs.2008.05.059) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions