Novel use of ultrasound guidance for recanalization of iliac, femoral, and popliteal arteries
- 15 April 2008
- journal article
- research article
- Published by Wiley in Catheterization and Cardiovascular Interventions
- Vol. 71 (6), 727-733
- https://doi.org/10.1002/ccd.21503
Abstract
Objectives: We attempted to demonstrate the safety and feasibility of intravascular ultrasound (IVUS)-guided endluminal endovascular therapy for chronic total occlusion (CTO) of the iliac and/or femoropopliteal arteries using Treasure 12, a stiff guidewire for peripheral CTO of 0.018 in. in monodirectional approach setting. Background: Endovascular therapy for CTO of the iliac and femoropopliteal arteries is still technically challenging. Methods: Endovascular therapy was performed in 110 patients who were admitted to Hyogo College of Medicine Hospital with iliac and/or femoropopliteal artery disease from January 2006 to October 2007. We retrospectively analyzed the data of consecutive 47 patients who underwent the endovascular therapy by monodirectional approach for CTO lesions of the iliac and femoropopliteal arteries. From January 2006 to November 2006 (phase 1), standard technique was applied for the treatment of 21 lesions. From December 2006 to October 2007 (phase 2), IVUS-guided endovascular therapy was applied for the treatment of 31 lesions. Results: Clinical and lesion characteristics in phase 1 were not significantly different from those in phase 2. The overall initial technical success rate improved from 81% in phase 1 to 97% in phase 2. There were no significant differences in radiation exposure time between phase 1 and phase 2. Total volume of contrast material was significantly smaller in phase 2 than in phase 1 (P < 0.01). Conclusions: The IVUS-guided endovascular therapy for CTO using Treasure 12 guidewire is feasible and safe, minimizes contrast material, and has a high initial technical success rate.Keywords
This publication has 17 references indexed in Scilit:
- Progress in the Endovascular Treatment of Intermittent Claudication: Rationale for Changes in the TASC ClassificationSeminars in Vascular Surgery, 2007
- ACC/AHA 2005 Practice Guidelines for the Management of Patients With Peripheral Arterial Disease (Lower Extremity, Renal, Mesenteric, and Abdominal Aortic)Circulation, 2006
- Endovascular management of iliac artery occlusions: extending treatment to TransAtlantic Inter-Society Consensus class C and D patientsJournal of Vascular Surgery, 2006
- Duplex-guided balloon angioplasty and subintimal dissection of infrapopliteal arteries: Early results with a new approach to avoid radiation exposure and contrast materialJournal of Vascular Surgery, 2005
- A new look at outcomes after infrainguinal bypass surgery: traditional reporting standards systematically underestimate the expenditure of effort required to attain limb salvageJournal of Vascular Surgery, 2004
- Systematic versus selective stent placement after superficial femoral artery balloon angioplasty: A multicenter prospective randomized studyJournal of Vascular Surgery, 2003
- Subintimal Recanalization of Long Superficial Femoral Artery Occlusions Through the Retrograde Popliteal ApproachCardioVascular and Interventional Radiology, 2001
- Management of peripheral arterial disease in patients with end-stage renal failureNephrology Dialysis Transplantation, 1997
- Comparative early and late cardiac morbidity among patients requiring different vascular surgery proceduresJournal of Vascular Surgery, 1995
- Percutaneous transluminal angioplasty of occlusions of the femoral and popliteal arteries by subintimal dissectionCardioVascular and Interventional Radiology, 1990