Sridevi R. Pitta, MBBS, Gregory W

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Presentation transcript:

Transradial iliac artery intervention with dual downstream embolic protection Sridevi R. Pitta, MBBS, Gregory W. Barsness, MD, Amir Lerman, MD, Verghese Mathew, MD, Rajiv Gulati, MD, PhD Journal of Vascular Surgery Volume 53, Issue 3, Pages 808-810 (March 2011) DOI: 10.1016/j.jvs.2010.09.027 Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 1 A, Aortoiliac angiography via a right common femoral approach indicates a critical ostial left common iliac stenosis with only mild disease elsewhere. B, Later-phase iliac artery angiography indicating patent internal iliac artery. C, Intravascular ultrasound scan of the left common iliac artery lesion reveals eccentric, radio-dense, atherosclerotic plaque in the lower left quadrant with an overlying heterogeneous lesion occupying most of the luminal space, consistent with organizing and recanalizing thrombus. The two lesional components are separated by a radiolucent demarcation (arrows). Journal of Vascular Surgery 2011 53, 808-810DOI: (10.1016/j.jvs.2010.09.027) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 2 Comprehensive downstream embolic protection. Embolic protection devices were positioned in the left internal iliac and common femoral arteries (left panel, arrows). The Filterwire opening diameter of 6.0 mm enabled adequate apposition in the internal iliac branch (diameter 5.0 mm by quantitative angiography) and common femoral arteries (5.8 mm). An 8-mm endovascular stent with a 0.035-inch wire lumen was advanced and deployed over both 0.014-inch embolic protection device wires simultaneously. Schematic representation of stent deployment over the dual filter configuration is illustrated in the right panel. Journal of Vascular Surgery 2011 53, 808-810DOI: (10.1016/j.jvs.2010.09.027) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 3 A, Angiography following stent deployment indicating complete relief of luminal stenosis (arrow). B, Intravascular ultrasound (IVUS) poststent revealing optimal stent expansion and normal apposition. Journal of Vascular Surgery 2011 53, 808-810DOI: (10.1016/j.jvs.2010.09.027) Copyright © 2011 Society for Vascular Surgery Terms and Conditions