scholarly journals "Needle Bypass" Technique: Percutaneous Anatomical Bypass with Needle Rendezvous for No-Option Peripheral Arterial Disease.

2021 ◽  
Author(s):  
Takuya Haraguchi ◽  
Masanaga Tsujimoto ◽  
Yoshifumi Kashima ◽  
Tsuyoshi Takeuchi ◽  
Yutaka Tadano ◽  
...  
Keyword(s):  
Femoral Artery ◽  
Common Femoral Artery ◽  
Percutaneous Treatment ◽  
Arterial Disease ◽  
The Body ◽  
Surgical Removal ◽  
Great Success ◽  
Surgical Bypass ◽  
Peripheral Arterial ◽  
Bypass Technique

Abstract Background: The complex lesions failed by surgical bypass treatments have yet to be solved even with the latest endovascular devices. We describe a new method of fully percutaneous anatomical bypass, named the “Needle bypass” technique.Case presentation: A 68-year-old male patient was suffered from chronic limb-threatening ischemia due to the surgical removal of right distal common femoral artery to proximal superficial femoral artery and two surgical bypasses, axillary-femoral bypass and iliac-femoral bypass, repeated infection 10 years before. He was referred for peripheral intervention by vascular surgeons due to the surgical higher risk background. Conventional peripheral intervention for the removal of common femoral bifurcation failed. “Needle bypass” technique was successfully performed that the tips of the needles which are inserted bi-directionaly from outside the body are aligned in the body to perform the guidewire externalization through the needles, “Needle rendezvous”, and to deploy scaffolds the complex anatomical lesion including extravascular site. This technique provided the great success with this no-option patient.Conclusions:“Needle bypass” technique is a new effective percutaneous treatment option for no-option patient.

scholarly journals The “Needle bypass” technique: Percutaneous anatomical bypass with needle rendezvous for patients with peripheral arterial disease that have no other surgical options

2021 ◽  
Vol 4 (1) ◽  
Author(s):  
Takuya Haraguchi ◽  
Masanaga Tsujimoto ◽  
Yoshifumi Kashima ◽  
Tsuyoshi Takeuchi ◽  
Yutaka Tadano ◽  
...  
Keyword(s):  
Common Femoral Artery ◽  
Percutaneous Treatment ◽  
Treatment Method ◽  
Arterial Disease ◽  
Vascular Lesions ◽  
Venous Flow ◽  
Surgical Options ◽  
Peripheral Arterial ◽  
The Right ◽  
Bypass Technique

Abstract Background The ideal method for recanalization of complex peripheral lesions has not been determined, despite the use of the latest endovascular devices. We describe a novel method for a fully percutaneous anatomical bypass, named the “needle bypass” technique, for treatment of complex vascular lesions with failed previous surgical therapy. Main text A 68-year-old male patient with chronic limb-threatening ischemia presented to our department. He previously had received surgical treatment 10 years prior that included the removal of the right distal common femoral artery and two surgical bypasses, an axillary-femoral bypass and an iliofemoral bypass, because he had repeated infections. He was referred to our center in order to have peripheral interventions. Since the previous conventional bridging/revascularization of the removed common femoral bifurcation had failed, the “needle bypass” technique was then used. With this novel technique, the tips of two percutaneous and bidirectional inserted needles were aligned (“needle rendezvous”) for the externalization of a guidewire in a through-and-through manner. Once this was achieved, an endovascular stent graft and an interwoven stent were deployed to cover and connect the lesion. This new technique is a minimally invasive anatomical bypass that directly connects artery to artery without any disturbance of the venous flow, and this technique, as the only option available, was performed successfully in our no-option patient. Conclusions The “needle bypass” technique is an effective percutaneous treatment method in patients with no other surgical options.

Smaller Common Femoral Artery Diameter in African Americans: Implications for Peripheral Arterial Disease

2012 ◽  
Vol 172 (2) ◽  
pp. 349
Author(s):  
A.M. Tolan ◽  
A. Aboulian ◽  
S. Schwartz ◽  
N. De Virgilio ◽  
A. Kaji ◽  
...  
Keyword(s):  
African Americans ◽  
Peripheral Arterial Disease ◽  
Femoral Artery ◽  
Common Femoral Artery ◽  
Arterial Disease ◽  
Peripheral Arterial

scholarly journals Transpedal Approach in Failed Antegrade Attempt of Lower Limb Peripheral Arterial Disease—A Review with Different Treatment Strategies

2020 ◽  
Vol 29 (03) ◽  
pp. 143-148
Author(s):  
Ranjit Kumar Nath ◽  
Siva Subramaniyan ◽  
Neeraj Pandit ◽  
Deepankar Vatsa
Keyword(s):  
High Risk ◽  
Peripheral Arterial Disease ◽  
Femoral Artery ◽  
Lower Limb ◽  
Treatment Strategies ◽  
Arterial Disease ◽  
Retrograde Approach ◽  
Femoral Access ◽  
Antegrade Approach ◽  
Peripheral Arterial

AbstractTranspedal access is an evolving technique primarily used in patients after failed femoral antegrade approach to revascularize complex tibiopedal lesions. In patients who are at high risk for surgery the transpedal access may be the only option in failed antegrade femoral access to avoid amputation of the limbs. In recent years transpedal access is used routinely to revascularize supra-popliteal lesions due to more success and less complications over femoral artery approach. Retrograde approach parse will not give success in all cases and importantly success depends on techniques used. There are different techniques that need to be used depending on lesion characteristics, comorbidities, and hardware available to improve success with less complications. This review provides different strategies for successful treatment of iliac and femoral artery lesions by transpedal approach after failed antegrade femoral attempt.

scholarly journals Percutaneous Treatment of Superficial Femoral Artery Total Occlusions: Single Center Experience

Acta Medica ◽  
2019 ◽  
Vol 50 (4) ◽  
pp. 30-35
Author(s):  
AHMET HAKAN ATEŞ ◽  
AYSU BAŞAK ÖZBALCI ◽  
SELİM KUL ◽  
MUSTAFA YENERÇAĞ ◽  
Metin Okşul ◽  
...  
Keyword(s):  
Femoral Artery ◽  
Superficial Femoral Artery ◽  
Treatment Strategy ◽  
Percutaneous Treatment ◽  
Arterial Disease ◽  
Complication Rates ◽  
Total Occlusion ◽  
First Choice ◽  
Stenting Procedure

Objectives Superficial femoral artery (SFA) is the most commonly effected vessel in peripheral arterial disease (PAD) and SFA total occlusions constitute the 50% of PAD patients presenting with symptoms. In this study, we investigated our patients with SFA total occlusions who were treated with percutaneous treatment strategy.   Methods In this study, we included ambulatory patients who were admitted to our clinics due to symptomatic severe SFA total occlusion and underwent PTA or PTA + stenting procedure.The demographic findings of the patients, procedure details, complications and follow-up results were noted. Results Out of 67 patients, 62 (92.5%) underwent PTA or PTA + stenting procedure successfully for SFA total occlusions. Only one serious complication, acute renal failure resulting in death developed during hospitalization. The mean follow-up time after the procedure was 11.1±7.2 months. During this follow-up time 36 (58.1%) were asymptomatic.  Out of 26 patients who were symptomatic, only 6 of them underwent reintervention and 3 were recommended surgical intervention.   Conclusion Peripheral interventions for SFA total occlusions are being performed successfully in experienced centers with low complication rates as the first treatment strategy in PAD. Herein,we have presented our patients who underwent successful PTA and/or stenting procedure with   high success and low complication rates. Peripheral interventions should be the first choice for SFA total occlusions in experienced centers.  

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