Crossover approach with a J-shaped sheath for angioplasty of iliofemoral artery stenoses and occlusions.
Thirty patients with atherosclerotic stenoses or occlusions of iliofemoral arteries were treated from the contralateral approach using a newly designed J-shaped sheath. Seven patients with stenoses and one with an occlusion were successfully dilated with balloon angioplasty. Twenty-two patients with occlusions were treated with urokinase infusion, 16 of whom received coaxial infusion with the J-shaped sheath and catheter. Complete thrombolysis was achieved in 18 patients. The treatment success rate was 100% in the stenotic group and 83% in the occlusion group. Initially, J-shaped sheaths were useful for treatment of iliofemoral artery lesions from the contralateral femoral artery.
Kichikawa
K
K
Department of Radiology, Nara Medical University, Japan.
Uchida
H
H
Nishimine
K
K
Maeda
M
M
Kubota
Y
Y
Ohishi
H
H
D000800:Angioplasty, Balloon / Q000295:instrumentation* / Q000379:methods; D001157:Arterial Occlusive Diseases / Q000628:therapy*; D001161:Arteriosclerosis / Q000628:therapy*; D003131:Combined Modality Therapy; D004867:Equipment Design; D005260:Female; D005263:Femoral Artery; D006801:Humans; D007083:Iliac Artery; D007261:Infusions, Intra-Arterial / Q000379:methods; D008297:Male; D008875:Middle Aged; D014568:Urokinase-Type Plasminogen Activator / Q000008:administration & dosage*
D014568:Urokinase-Type Plasminogen Activator