Case 13 – Occlusion of left popliteal and tibial arteries
Center:
Beijing Military Hospital 301, Beijing, China
Case 13 – BMH 01: male, 72 years
Operators:
Wei Guo,
Xin Jia
CLINICAL DATA
PAOD Rutherford 4
Rest pain at left foot
Smoking for 30 years
Coronary artery disease
ABI left 0.5; right 0.7
PROCEDURAL STEPS 1. Antegrade access and placement of a long sheath
- 0.035" Radiofocus Terumo angled soft guidewire, 180 cm (TERUMO)
- 6F Flexor Straight sheath, 55 cm (COOK)
2. Passage of the lesion with hydrophilic wire and predilatation
- 0.018" V-18 control wire, 300 cm (BOSTON SCIENTIFIC)
- 4/120 mm Pacific balloon dilatation catheter for POP, 130 cm (MEDTRONIC)
- 2/120 mm DEEP balloon dilatation catheter for PA and PT, 130 cm (MEDTRONIC)
3. Retrograde AT or PA puncture in case of antegrade failure
- 0.018" V-18 control wire, 300 cm (BOSTON SCIENTIFIC)
- 2/80 mm DEEP balloon dilatation catheter, 130 cm (MEDTRONIC)
CLINICAL DATA
Documented abdominal aortic aneurysm in May 2012
Coronary artery disease
Hypertension
ANGIOGRAPHY
CT angiography of abdominal aorta shows:
Maximum aneurysm diameter 60/57 mm, short and angulated neck
Right iliac: CIA 18 mm, EIA 9 mm
Left iliac: CIA 14 mm, EIA 11 mm
2. Left brachial artery access for provisional chimney stent
- 6F 90 cm Flexor long sheath (COOK)
- Chimney stent in left renal artery: Genesis 6-18 (CORDIS)
3. Stent graft
- ENDURANT (MEDTRONIC)
- Main body from left access: 28-16-170 mm
- Right leg: 16-20-120 mm
Case 23 – Occlusion of left superficial femoral artery
Center:
Beijing Military Hospital 301, Beijing, China
Case 23 – BMH 03: male, 65 years
Operators:
Wei Guo,
Xin Jia
CLINICAL DATA
PAOD Rutherford 3
Intermittent claudication of left leg
Diabetes mellitus for 20 years
ABI left 0.45, right 0.72
PROCEDURAL STEPS 1. Retrograde access of right groin
- 0.035" Radiofocus Terumo angled soft guidewire, 180 cm (TERUMO)
- 6F Flexor straight sheath, 50 cm (COOK)
2. Passage of the lesion
- 0.018" V-18 control wire, 300 cm (BOSTON SCIENTIFIC)
- 4/120 mm Pacific dilatation catheter, 120 cm (MEDTRONIC)
3. Dilatation and provisional stent
- 4/120 mm Pacific dilatation catheter,120 cm (MEDTRONIC)
- 6/150 mm Complete SE Nitinol vascular stent, 120 cm (MEDTRONIC)
4. Retrograde SFA puncture in case of antegrade failure
- 0.018" V-18 control wire, 300 cm (BOSTON SCIENTIFIC)
- 4/120 mm Pacific dilatation catheter, 120 cm (MEDTRONIC)
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