Video : BTK arteries angioplasty: Optimal Complex recanalization for BTK arteries (Drug Coated Balloon angioplasty for Re-Occlusion)

It looks like you're using an obsolete version of internet explorer. Internet explorer is no longer supported by Microsoft since the end of 2015. We invite you to use a newer browser such as Firefox, Google Chrome or Microsoft Edge.

Endovascular / Lower limbs / Btk-bta / Case in the box

My Player placeholder

Worldwide schedules comment Share

« Back to playlist

Next →← Previous

This didactic procedure concerns a 70 years old man, with multiple cardiovascular risk factors, presenting severe Left Limb Critical Ischemia with extensive gangrene in the II-III & IV toes.

He was treated by complete revascularization of both Anterior tibial artery (True to true lumen) & Posterior tibial artery recanalization, Good final angiographic result with acceptable Run off.

Educational objectives

How to manage patients with Critical Limb ischemia & BTK vessels reocclusion.
Optimal techniques to achieve complete revascularization in Critical Limb ischemia.
How to minimize iodine contrast use during BTK revascularization procedures.
Carboxy-dioxide angiography during BTK revascularization procedures.
Drug Coated Balloon in BTK arteries.

Step-by-Step description

Left CFA antegrade Access with 6F Sheath.
Crossing Anterior tibial artery true lumen with 0.014 guidewire Command ES (Abbott).
Crossing the Plantar Arch through the Dorsalis pedis artery using the Command ES guide wire & Ultraverse Balloon 2.0x40mm (BARD).
Retrograde Crossing of the Posterior tibial artery till the proximal artery.
Predilatation of the Anterior tibial artery & the plantar arch.
Antegrade Crossing of the Posterior tibial artery with a second Command 0.014 guidewire (Abbott).
Multilevel predilatation of the Posterior tivbial artery.
Drug Coated balloon dilatation only for Anterior tibial artery.
Second Balloon diltation of the Posterior tibial artery & the plantar arch.
Final angiographic control with acceptable Run off & good patency of the ATA, PTA & plantar arch.

Biobliography

Peripheral Arterial Diseases (Diagnosis and Treatment of) ESC Clinical Practice Guidelines - Guidelines
Authors:Victor Aboyans Jean-Baptiste Ricco Marie-Louise E L Bartelink
Publication: European Heart Journal (2018) 39, 763–821
Lutonix® 014 DCB global Below the Knee Registry Study: interim 6-month outcomes. - Article
Authors: Thieme M, Lichtenberg M, Brodmann M, Cioppa A, Scheinert D.
Publication:doi: 10.23736/S0021-9509.18.10269-2. Epub 2018 Jan 23.
One Year Primary Patency of Infrapopliteal Angioplasty Using Drug- Eluting Balloons: Single Center Experience at King Hussein Medical Center. - Article
Authors:Haddad SE, Shishani JM, Qtaish I, Rawashdeh MA, Qtaishat BS.
Publication:doi: 10.4103/jcis.JCIS_34_17. eCollection 2017.
Drug-coated balloon angioplasty for the management of recurring infrapopliteal disease in diabetic patients with critical limb ischemia.ink title - Article
Authors:Palena LM, Diaz-Sandoval LJ, Gomez-Jaballera E, Peypoch-Perez O, Sultato E, Brigato C, Brocco E, Manzi M.
Publication: doi: 10.1016/j.carrev.2017.06.006. Epub 2017 Jun 20.
Automated Carbon Dioxide Angiography for the Evaluation and Endovascular Treatment of Diabetic Patients With Critical Limb Ischemia. - Article
Authors:Palena LM, Diaz-Sandoval LJ, Gomez-Jaballera E, Peypoch-Perez O, Sultato E, Brigato C, Brocco E, Manzi M.
Publication:doi: 10.1016/j.carrev.2017.06.006. Epub 2017 Jun 20.

Shooting date : 2018-03-23
Last update : 2021-05-11

Join the Discussion

Mangesh T. Very well done BTK & BTA Tibial Arterial DCB Plasty with excellent foot perfusion results.

But Why not use “Phoenix Hybrid (Rotational & Directional) Atherectomy device for debulking heavily calcified distal PTA & dorsal Foot arch or at least Shockwave Lithoplasty balloons to beat Calcium??

2019-03-12, 20h31
Join files

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.

1 - Add file(s) upload
v22e V. Excelent case

2022-10-21, 19h45
Join files

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.

1 - Add file(s) upload
v22e V. Thanks

2022-10-21, 19h46
Join files

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.

1 - Add file(s) upload

BTK arteries angioplasty: Optimal Complex recanalization for BTK arteries (Drug Coated Balloon angioplasty for Re-Occlusion)

Case of the month: March 2019