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Complex Aorto-iliac lesion: How to deal with symptomatic Abdominal Aortic calcified stenosis extending to common iliac arteries
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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 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.
Monday, November 30th -0001 from 12am to 12am (GMT+2)
Honolulu : Monday, November 29th 1999 from 12pm to 12pm (GMT-10) San Francisco : Monday, November 29th 1999 from 02pm to 02pm (GMT-8) New York : Monday, November 29th 1999 from 05pm to 05pm (GMT-5) Buenos Aires : Monday, November 29th 1999 from 07pm to 07pm (GMT-3) London / Dublin : Monday, November 29th 1999 from 10pm to 10pm (GMT) Paris / Berlin : Monday, November 29th 1999 from 11pm to 11pm (GMT+1) Istanbul : Tuesday, November 30th 1999 from 12am to 12am (GMT+2) Moscou / Dubaï : Tuesday, November 30th 1999 from 02am to 02am (GMT+4) Bangkok : Tuesday, November 30th 1999 from 05am to 05am (GMT+7) Shanghai : Tuesday, November 30th 1999 from 06am to 06am (GMT+8) Tokyo : Tuesday, November 30th 1999 from 07am to 07am (GMT+9) Sydney : Tuesday, November 30th 1999 from 08am to 08am (GMT+10) Wellington : Tuesday, November 30th 1999 from 10am to 10am (GMT+12)