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

Authors
Hyun Yong LeeYoung Nam RohHyoung Tae KimUi Jun Park
Department
Dept. of Surgery (외과학)
Issue Date
2018
Citation
Annals of Vascular Surgery, Vol.570() : e1-270.e5, 2018
ISSN
0890-5096
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.
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/41568
Appears in Collections:
1. Journal Papers (연구논문) > 1. School of Medicine (의과대학) > Dept. of Surgery (외과학)
Keimyung Author(s)
김형태; 박의준; 노영남
Full Text
https://linkinghub.elsevier.com/retrieve/pii/S0890-5096(18)30580-6
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