title: Subintimal recanalisation and stenting of a common iliac artery occlusion by a left axillary and an ipsilateral femoral retrograde approach using modified gooseneck grab aided by balloon dilatation of "dissection port".
abstract: The technique of recanalisation using deliberate subintimal dissection of an occluded iliac artery is being increasingly used and practised via ipsilateral and or contralateral approaches. There remains, however, a fair proportion of cases where, in spite of using gooseneck snares, the wire manipulation to traverse the occlusion can prove unsuccessful resulting in failed de-obliteration of the occlusion. We describe a technique to aid successful re-establishment of the patency using balloon dilatation of the dissection "entry port" with modified gooseneck snare grab.
authors.affiliation: Department of Radiology, Lincoln County Hospital, United Lincolnshire Hospitals NHS Trust, Lincoln, UK. raj.thava@ulh.nhs.uk
authors.forename: V R
authors.initials: VR
authors.lastname: Thava
authors.forename: R E
authors.initials: RE
authors.lastname: Stead
authors.forename: R P
authors.initials: RP
authors.lastname: Smith
mesh_terms: D001157:Arterial Occlusive Diseases / Q000628:therapy*; D002404:Catheterization / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D007083:Iliac Artery; D007383:Intermittent Claudication / Q000209:etiology / Q000628:therapy; D008297:Male; D008875:Middle Aged; D015607:Stents; D016896:Treatment Outcome