Recanalization of TASC C/D Iliac Occlusion: An Improved Technique through the Radio-brachial Access
Journal Title: Cardiology and Angiology: An International Journal - Year 2014, Vol 2, Issue 4
Abstract
We describe a technique for reanalyzing total chronic long occlusion of the iliac arteries (TASC/D) through the radio-brachial approach. After having obtained the arterial approach, a 6F 90cm long Shuttle sheath (Cook Group, Bloomington, IN, USA) or a 4F 100cm Fortress sheath (Biotronik AG, Bulack, Switzerland) has been inserted into the left radial or brachial artery reaching the distal aorta, where an injection through the catheter has been made to assess the proximal occlusion cap. A 125 long MPA 4 or 5F catheter has been advanced over a coronary. 014” CTO guide-wire. The coronary guide-wire has been replaced with a Terumo guide-wire leaving the catheter into the first 4-5cm to the occlusion and a subintimal recanalization of the distal portion of the occlusion has been accomplished. Balloon dilation and implantation of long or multiple self-expandable stent have been accomplished to obtain patency of the vessels. The described technique appeared to be simple and safe allowing for recanalization of long iliac segments independently from the access, femoral or radial/brachial used. Large studies with long follow up are warranted to assess long-term effectiveness.
Authors and Affiliations
Gianluca Rigatelli, Dobrin Vassilev, Kristian Ivanov, Fabio Dell’Avvocata, R. N. Stefano Barison, R. T. Lorella Tiberio, Paolo Cardaioli
Keywords
Related Articles
- EP ID EP344149
- DOI 10.9734/CA/2014/11123
- Views 68
- Downloads 0
Changes of Pre Ejection Period and Left Ventricular Ejection Time during Head up Tilt
Objective of the Study: Evaluate changes in Pre ejection period (PEP) and left ventricular ejection time (LVET) during head up tilt (HUT). Methods: Twenty healthy male subjects were involved in this study, with mean age...
Athlete’s Heart with a Systemic Right Ventricle?
Objective: High load of regularly vigorous exercise leads to multiple physiological adaptations. The major cardiovascular effects are hypertrophy and dilation, predominantly of the left ventricle, and bradycardia. Howeve...
Infantile Cardiac Rhabdomyoma–Pearls Inside the Heart
Cardiac rhabdomyoma is the most common primary pediatric tumor of the heart. We report a 1-month old male infant who presented to our institute for routine cardiac evaluation since he was diagnosed to have a cardiac mass...
Glutathione: Glutathione Sulfide Redox Imbalance in Early Impaired Fasting Glucose
Aim: The current study aims to examine the balance between glutathione and glutathione sulfide and how this was disturbed in patients with impaired fasting glucose (IFG) level. The study also included 8-hydroxy-2’-deoxyg...
Differential Enthalpy, Factor of Cardiac Power and Precursor of Work Power from the Nodal Tissue
Background: The blood can be considered as a real fluid flowing in fixed vibrating myocardial canal. Its ejection during the left ventricular contraction is the phenomenon hereby studied. The left ventricle has been take...