×

Become an Incathlab member and receive full access to its content!

You must be an Incathlab member to access videos without any restrictions. Register for free in one minute and access all services provided by Incathlab.You will also be able to log into Incathlab from your Facebook or twitter account by clicking on login on the top-right corner of Incathlab website.

Registration Login


Description
Shooting date : 2018-04-26
Last update : 2018-04-26
Language(s) : English
  • Indication: Restpain for over 2 Month (Fontaine's stage III) Target lesion (s): external iliac artery stenosis (PSV 550 cm/s) and ...
  • Indication: Restpain for over 2 Month (Fontaine's stage III) Target lesion (s): external iliac artery stenosis (PSV 550 cm/s) and comlete CTO SFA
  • Approach: crossover femoral
  • Description of procedure: recanalization of the AIE and SFA. Angioplasty DCB of the SFA. DFA manual thrombus aspiration. Stent placement in the AIE and proximal SFA
  • Devices used: 6-F45-cm crossover sheath (Destination, Terumo), Rubicon™ Support Catheter 0.018" (Boston Scientific), Guidewire 0.018" (Terumo Advantage), Balloon - Dilatation Catheter 5x100mm Sterling™ 0.018” (Boston Scientific), Stent Innova 5mm x 120mm (Boston Scientific), Stent Innova 6mm x 80mm (Boston Scientific), Ranger DCB 4x100mm (Boston Scientific), BigLumen 5F Aspiration Catheter (Optimed), Angio-Seal vascular closure device. Medical therapy: 3000U Heparin during the procedure, DAP (Clopidogrel and ASS), Simvastatin after the procedure
  • Follow up: patency of recanalized segment testing by doppler- ultrasound

Take Home Message

  1. Extravasation is a possible complication after the recanalization and balloon-angioplasty even if we don't see it in the angiography.
  2. Thrombolysis after the CTO recanalisation can cause heavy bleeding.
  3. Sonography of the recanalized segment before the thrombolysis can reduce the risk of complications.
     
Comments(2)
Join the Discussion
    • Please, select your files, click upload button, write your comment and click the send button. (allowed formats : images jpeg, gif, png, and PDF)
      Your browser doesn't have Flash, Silverlight or HTML5 support.


    • Ahmed B. good job YURI , congratulations

        Please, select your files, click upload button, write your comment and click the send button. (allowed formats : images jpeg, gif, png, and PDF)
        Your browser doesn't have Flash, Silverlight or HTML5 support.


      Comment with Facebook

      Wednesday, October 10th 2018 from 12pm to 01:30pm (GMT+2)
      Honolulu : Wednesday, October 10th 2018 from 12am to 01:30am (GMT-10)
      San Francisco : Wednesday, October 10th 2018 from 03am to 04:30am (GMT-7)
      New York : Wednesday, October 10th 2018 from 06am to 07:30am (GMT-4)
      Buenos Aires : Wednesday, October 10th 2018 from 07am to 08:30am (GMT-3)
      Reykjavik : Wednesday, October 10th 2018 from 10am to 11:30am (GMT)
      London / Dublin : Wednesday, October 10th 2018 from 11am to 12:30pm (GMT+1)
      Paris / Berlin : Wednesday, October 10th 2018 from 12pm to 01:30pm (GMT+2)
      Istanbul : Wednesday, October 10th 2018 from 01pm to 02:30pm (GMT+3)
      Moscou / Dubaï : Wednesday, October 10th 2018 from 02pm to 03:30pm (GMT+4)
      Bangkok : Wednesday, October 10th 2018 from 05pm to 06:30pm (GMT+7)
      Shanghai : Wednesday, October 10th 2018 from 06pm to 07:30pm (GMT+8)
      Tokyo : Wednesday, October 10th 2018 from 07pm to 08:30pm (GMT+9)
      Sydney : Wednesday, October 10th 2018 from 09pm to 10:30pm (GMT+11)
      Wellington : Wednesday, October 10th 2018 from 11pm to 12:30am (GMT+13)

      Calcium, Dissections, No Stent Zones: How leading centers are fighting the last challenges in the SF...

      Live from University Hospital Leipzig

      Share
      Friday, November 9th 2018 from 08am to 10am (GMT+2)
      Honolulu : Thursday, November 8th 2018 from 08pm to 10pm (GMT-10)
      San Francisco : Thursday, November 8th 2018 from 10pm to 12am (GMT-8)
      New York : Friday, November 9th 2018 from 01am to 03am (GMT-5)
      Buenos Aires : Friday, November 9th 2018 from 03am to 05am (GMT-3)
      London / Dublin : Friday, November 9th 2018 from 06am to 08am (GMT)
      Paris / Berlin : Friday, November 9th 2018 from 07am to 09am (GMT+1)
      Istanbul : Friday, November 9th 2018 from 08am to 10am (GMT+2)
      Moscou / Dubaï : Friday, November 9th 2018 from 10am to 12pm (GMT+4)
      Bangkok : Friday, November 9th 2018 from 01pm to 03pm (GMT+7)
      Shanghai : Friday, November 9th 2018 from 02pm to 04pm (GMT+8)
      Tokyo : Friday, November 9th 2018 from 03pm to 05pm (GMT+9)
      Sydney : Friday, November 9th 2018 from 04pm to 06pm (GMT+10)
      Wellington : Friday, November 9th 2018 from 06pm to 08pm (GMT+12)

      Live Case: Long Femoropopliteal lesion treated with scientifically proven drug eluting technologies

      From the VI International Symposium of Endovascular Surgery Chapter

      Share
      Scroll Up