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Ultrasound-Guided Direct Needle Engagement for Flush-Occluded Superficial Femoral Artery

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Affiliated Author(s)
김형태박의준노영남
Alternative Author(s)
Kim, Hyoung TaePark, Ui JunRoh, Young Nam
Journal Title
Annals of Vascular Surgery
ISSN
0890-5096
Issued Date
2018
Abstract
Flush ostial occlusion of the superficial femoral artery (SFA) is challenging for endovascular treatment. Neither ipsilateral nor contralateral access is easy. The drawback of ipsilateral common femoral artery (CFA) access is that the CFA is too short for catheter manipulation and sheath engagement. Contralateral retrograde CFA access could have merit, but it has the drawback of poor pushability and torquability in the manipulation of devices. The most challenging part of flush ostial occlusion is the difficulty of wire engagement into the SFA orifice. We describe a case of successful treatment of a flush-occluded long SFA lesion using ultrasound-guided direct ipsilateral ostial access.
Department
Dept. of Surgery (외과학)
Publisher
School of Medicine (의과대학)
Citation
Hyun Yong Lee et al. (2018). Ultrasound-Guided Direct Needle Engagement for Flush-Occluded Superficial Femoral Artery. Annals of Vascular Surgery, 570, e1-270.e5. doi: 10.1016/j.avsg.2018.04.046
Type
Article
ISSN
0890-5096
DOI
10.1016/j.avsg.2018.04.046
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/41568
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Surgery (외과학)
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