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Shooting date : 2017-12-15 Last update : 2018-12-19
Language(s) : English
This didactic procedure concerns a young heavy smoker lady with bilateral lower limb severe claudication, presenting dist...
This didactic procedure concerns a young heavy smoker lady with bilateral lower limb severe claudication, presenting distal abdominal aortic calcified stenosis extending to bilateral common iliac arteries. After multimodality assessment of lesions, she has undergone percutaneous abdominal aortic & bilateral iliac angioplasty and stenting with good final result.
How to manage patients with intermittent claudication and Aorto-iliac stenosis.
Multimodality assessment of aorto-iliac stenosis before the intervention.
How to plan access, procedural steps, and selection of devices.
How to preserve inferior mesenteric artery during distal abdominal aortic stenting.
Selection of femoral site: Left Femoral artery access with 7F 23cm introducer.
Right Femoral artery access under Roadmap guidance (6F 23cm introducer).
Crossing both iliac arteries & Aortic stenosis with 0.035" Advantage guidewire (Terumo).
Aortic predilatation with a 10x40mm at 8ATM.
Autoexpandable Stent implantation in the distal Aorta under Roadmap guidance: OPTIMED 12X40mm over the 7F Sheath.
Recross the aortic stent with the right 0.035" guidewire.
Simultaneous deployment of Two covered stents in both common iliac arteries BEGRAFT(Bentley): 7x37mm il the right side & 7x27mm in the left side.
Kissing balloon with the stent balloons.
Angiographic control in different views with good inferior mesenteric artery patency.
Friday, June 29th 2018 from 09:40am to 11am (GMT+2)
Honolulu : Thursday, June 28th 2018 from 09:40pm to 11pm (GMT-10) San Francisco : Friday, June 29th 2018 from 12:40am to 02am (GMT-7) New York : Friday, June 29th 2018 from 03:40am to 05am (GMT-4) Buenos Aires : Friday, June 29th 2018 from 04:40am to 06am (GMT-3) Reykjavik : Friday, June 29th 2018 from 07:40am to 09am (GMT) London / Dublin : Friday, June 29th 2018 from 08:40am to 10am (GMT+1) Paris / Berlin : Friday, June 29th 2018 from 09:40am to 11am (GMT+2) Istanbul : Friday, June 29th 2018 from 10:40am to 12pm (GMT+3) Moscou / Dubaï : Friday, June 29th 2018 from 11:40am to 01pm (GMT+4) Bangkok : Friday, June 29th 2018 from 02:40pm to 04pm (GMT+7) Shanghai : Friday, June 29th 2018 from 03:40pm to 05pm (GMT+8) Tokyo : Friday, June 29th 2018 from 04:40pm to 06pm (GMT+9) Sydney : Friday, June 29th 2018 from 06:40pm to 08pm (GMT+11) Wellington : Friday, June 29th 2018 from 08:40pm to 10pm (GMT+13)