scholarly journals Transluminal Recanalization of Chronic Total Occlusion of Radial Artery Using Rendezvous Technique: A Case Report and Literature Review

2014 ◽  
Vol 4 ◽  
pp. 36 ◽  
Author(s):  
Mohammad Arabi ◽  
Ishtiaq Ahmed ◽  
Nabeel Qattan
Keyword(s):  
Radial Artery ◽  
Chronic Total Occlusion ◽  
Index Finger ◽  
Limb Ischemia ◽  
Arterial Disease ◽  
Total Occlusion ◽  
Hand Ischemia ◽  
Rendezvous Technique ◽  
Peripheral Arterial ◽  
The Right

Although endovascular management of lower extremity peripheral arterial disease (PAD) is well studied, little information exists regarding endovascular treatment of critical upper limb ischemia. We report a case of transluminal recanalization of right radial artery chronic total occlusion (CTO) using rendezvous technique in a patient with critical hand ischemia and dry gangrene of the right index finger.

scholarly journals Treatment of an external iliac artery chronic total occlusion using alternate access sites

2019 ◽  
Vol 2 (1) ◽  
Author(s):  
Justin Ratcliffe ◽  
Mike Gorenchtein ◽  
Pankaj Khullar ◽  
Abel Casso Dominguez ◽  
Mohan Satish ◽  
...  
Keyword(s):  
Iliac Artery ◽  
Chronic Total Occlusion ◽  
External Iliac Artery ◽  
Arterial Disease ◽  
Patient Comfort ◽  
Vascular Lesions ◽  
Symptom Improvement ◽  
Total Occlusion ◽  
Maximal Medical Therapy ◽  
Peripheral Arterial

Abstract Background With the advent of endovascular techniques, alternate sites such as the pedal and radial arteries can now be accessed when treating peripheral arterial disease to reduce procedural complications, shorten recovery time, and improve patient comfort. However, a paucity of literature exists on the availability of support devices that can be utilized during challenging cases. Case presentation A 70 year-old female patient presented for evaluation of severe lifestyle-limiting left-sided claudication refractory to maximal medical therapy. Angiography revealed a chronic total occlusion of the left external iliac artery, which was treated successfully by percutaneous intervention via a primary transpedal approach and with the assistance of the Outback® Elite re-entry device. The patient was discharged 2 h after the procedure and reported significant symptom improvement at follow-up. Conclusion This case highlights a newly adopted endovascular approach through an alternate access site and illustrates how the Outback® Elite device can be used as an adjunctive tool in the treatment of complex lower-extremity vascular lesions.

Efficacy of metal tip catheter for chronic total occlusion lesions in peripheral arterial disease

2011 ◽  
Vol 27 (1) ◽  
pp. 19-23 ◽  
Author(s):  
Minoru Ihara ◽  
Tsugiyoshi Yamazaki ◽  
Masaharu Kudo ◽  
Osamu Murai ◽  
Yoshiaki Tsukamoto
Keyword(s):  
Peripheral Arterial Disease ◽  
Chronic Total Occlusion ◽  
Arterial Disease ◽  
Total Occlusion ◽  
Metal Tip ◽  
Peripheral Arterial

scholarly journals TCTAP C-200 Peripheral Arterial Disease with Chronic Total Occlusion over Right Common Iliac Artery

2016 ◽  
Vol 67 (16) ◽  
pp. S340-S342
Author(s):  
Tzu Chieh Lin ◽  
Chun-Yuan Chu ◽  
Wen-Hsien Lee ◽  
Po-Chao Hsu ◽  
Ho-Ming Su ◽  
...  
Keyword(s):  
Peripheral Arterial Disease ◽  
Iliac Artery ◽  
Chronic Total Occlusion ◽  
Common Iliac Artery ◽  
Arterial Disease ◽  
Total Occlusion ◽  
Peripheral Arterial

scholarly journals The vascular armamentarium explored-the ultimate goal achieved

2020 ◽  
Vol 7 (5) ◽  
pp. 1637
Author(s):  
Manoj Prabakar Ravichandran ◽  
Subrammaniyan Rathinavelpandian ◽  
Marunraj Gnanasekaran ◽  
Saravanan Balachandran
Keyword(s):  
Skin Grafting ◽  
Limb Ischemia ◽  
Arterial Disease ◽  
Vascular Surgeon ◽  
Interventional Radiological Procedure ◽  
Catheter Directed Thrombolysis ◽  
Split Skin Grafting ◽  
Peripheral Arterial ◽  
The Right ◽  
Split Skin

Peripheral arterial disease is one of the commonest causes for a limb being amputated most often, we present this case of medium vessel vasculitis with chronic threatening limb ischemia to make a note of our attempt to save her limb by multiple modalities which included medical management with steroids, immunosuppressants, pulsed cyclophosphamide, interventional radiological procedure of catheter directed thrombolysis with urokinase, surgical procedures like bypass, split skin grafting and minor amputations, implemented novel modalities like hyperbaric oxygen therapy. By exploring the armamentarium available, involving a multidisciplinary team which included vascular surgeon, rheumatologist, intervention radiologist, plastic surgeon, physiotherapist and aptly using the right modality at the right time we were able to ultimately achieve our goal of limb salvage.

scholarly journals Revascularization of Chronic Total Occlusion of the Infrarenal Aorta in a Patient with Triple Vessel Disease: Report of a Case Treated by Endovascular Approach

2017 ◽  
Vol 2017 ◽  
pp. 1-7
Author(s):  
Mahek Shah ◽  
Soumya Patnaik ◽  
Rahul Sinha ◽  
Issac Opoku-Asare ◽  
Khalid Chaudhry ◽  
...  
Keyword(s):  
Chronic Total Occlusion ◽  
Significant Coronary Artery Disease ◽  
Arterial Disease ◽  
Occlusive Disease ◽  
Infrarenal Aorta ◽  
Aortoiliac Occlusive Disease ◽  
Total Occlusion ◽  
Triple Vessel Disease ◽  
Technological Advances ◽  
Peripheral Arterial

Surgical management of advance aortoiliac occlusive disease is time-tested and a widely practiced strategy, particularly when there is significant coronary artery disease associated with aortoiliac occlusive disease. The technological advances in the field of percutaneous techniques have facilitated the use of nonsurgical endovascular alternatives for peripheral arterial disease in patients with significant comorbidities at high surgical risk, as illustrated in our case report. We report a case of chronic total occlusion of the aorta that was treated percutaneously with endovascular stenting. We also discuss the specific technique used in this procedure.

scholarly journals The Association of Cardio-Ankle Vascular Index and Ankle-Brachial Index in Patients with Peripheral Arterial Disease

Pulse ◽  
2021 ◽  
pp. 1-6
Author(s):  
Taichiro Hayase
Keyword(s):  
Peripheral Arterial Disease ◽  
Chronic Total Occlusion ◽  
Ankle Brachial Index ◽  
Arterial Disease ◽  
Artery Stenosis ◽  
Total Occlusion ◽  
Brachial Blood Pressure ◽  
Below The Knee ◽  
Peripheral Arterial ◽  
Stenotic Lesions

<b><i>Introduction:</i></b> The cardio-ankle vascular index (CAVI) is a well-known index to evaluate arterial stiffness and predict cardiovascular risk. <b><i>Methods:</i></b> We investigated whether CAVI can predict severity and extent of peripheral arterial disease. This study was a single-center, retrospective, observational study approved by the Ethics Committee of Yokohama Shintoshi Neurosurgical Hospital. A total of 96 patients (males, 63) with an abnormal ankle-brachial blood pressure index (ABI) of &#x3c;0.9 and who underwent extremity arteriography at our hospital from 2015 to 2018 were enrolled in this study. We defined that CAVI with a range of &#x3c;8.0 was normal. <b><i>Results:</i></b> Coronary angiography and extremity arteriography were performed for patients who had intermittent claudication and abnormal ABI. We divided the affected limbs into 3 categories: above-the-knee artery stenosis, above-the-knee artery chronic total occlusion, and only below-the-knee artery stenosis/occlusion groups. CAVI pseudonormalization was seen in 28, 76, and 19%, respectively. The above-the-knee artery stenosis and the only below-the-knee artery stenosis/occlusion groups had a high odds ratio of abnormalization of CAVI (3.1, 95% confidence interval [CI]: 1.39–7.22; <i>p</i> = 0.05, 4.56, 95% CI: 1.64–14.7). <b><i>Discussion/Conclusion:</i></b> In the presence of the above-the-knee artery chronic total occlusion, CAVI pseudonormalization was likely to be seen. The presence of CTO in the above-the-knee artery is one cause of pseudonormalized CAVI. In the range of ABI, in which stenotic lesions and obstructive lesions coexist, it may be possible to detect the existence of CTO by a combination of both ABI and CAVI.

scholarly journals Coil Embolization of Coronary-Cameral Fistula Complicating Revascularization of Chronic Total Occlusion

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Amy Mertens ◽  
Pratik Dalal ◽  
Michael Ashbrook ◽  
Ivan Hanson
Keyword(s):  
Coronary Artery ◽  
Right Ventricle ◽  
Coil Embolization ◽  
Chronic Total Occlusion ◽  
Potential Complication ◽  
Total Occlusion ◽  
Percutaneous Coronary ◽  
Coronary Cameral Fistula ◽  
The Right

Traumatic vessel perforation is a potential complication of chronic total occlusion (CTO) percutaneous coronary artery intervention (PCI). A rare consequence of this complication is a coronary-cameral fistula. The management of this condition is not well elucidated. Herein, we present such a case of symptomatic left anterior descending to the right ventricle (LAD-RV) fistula which was treated with coil embolization.

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