Sean P. Lyden, MD Journal of Vascular Surgery

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Presentation transcript:

Techniques and outcomes for endovascular treatment in the tibial arteries Sean P. Lyden, MD Journal of Vascular Surgery Volume 50, Issue 5, Pages 1219-1223 (November 2009) DOI: 10.1016/j.jvs.2009.02.019 Copyright © 2009 Society for Vascular Surgery Terms and Conditions

Fig 1 (A) Occluded posterior tibial artery that reconstitutes at the ankle. (B) Patent posterior tibial artery after recanalization and angioplasty. Journal of Vascular Surgery 2009 50, 1219-1223DOI: (10.1016/j.jvs.2009.02.019) Copyright © 2009 Society for Vascular Surgery Terms and Conditions

Fig 2 (A) This demonstrates using a 0.35″ Quick-Cross catheter with a 0.35″ angled floppy Glidewire flush with end to obdurate the lumen. (B) Forward pushing on the catheter and wire simultaneously is used to cross the occluded vessel. Journal of Vascular Surgery 2009 50, 1219-1223DOI: (10.1016/j.jvs.2009.02.019) Copyright © 2009 Society for Vascular Surgery Terms and Conditions

Fig 3 (A) A “J loop” formed in a floppy Glidewire in a tibial vessel. The loop is kept smaller than the diameter of the vessel. (B) A “J loop” formed in a floppy Glide wire in a tibial vessel, where the “J loop” has become larger than the vessel diameter and leads to vessel perforation. Journal of Vascular Surgery 2009 50, 1219-1223DOI: (10.1016/j.jvs.2009.02.019) Copyright © 2009 Society for Vascular Surgery Terms and Conditions

Fig 4 Images A, B, and C depict using a .014″ wire with a gentle curve on the tip rotated with a glide wire to navigate across a stenosis in a tibial vessel. Journal of Vascular Surgery 2009 50, 1219-1223DOI: (10.1016/j.jvs.2009.02.019) Copyright © 2009 Society for Vascular Surgery Terms and Conditions