Ultrasound-Guided Direct Needle Engagement for Flush-Occluded Superficial Femoral Artery
- Affiliated Author(s)
- 김형태; 박의준; 노영남
- Alternative Author(s)
- Kim, Hyoung Tae; Park, Ui Jun; Roh, 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.
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