title: Pre-arteriotomy guidewire access (PAGA): a crucial maneuver for securing inflow and/or outflow in patients with bulky iliofemoral occlusive disease undergoing combined (open/endovascular) procedures.
abstract: OBJECTIVE
  To present our technique of pre-arteriotomy guidewire access (PAGA).
  
  
  CONCLUSIONS
  Placement of a guidewire across inflow lesions before performing the arteriotomy during combined endovascular/open procedures while treating patients with complex iliofemoral occlusive disease is a crucial maneouvre. We routinely utilize this approach in patients in whom endarterectomy and/or patch angioplasty is planned as the central part of the revascularization procedure, or when we find an unsuspected severely diseased EIA in a patient undergoing leg revascularization.
authors.affiliation: Department of Vascular Surgery, State University of New York at Buffalo, Buffalo, NY, USA. dosluoglu@yahoo.com
authors.forename: H H
authors.initials: HH
authors.lastname: Dosluoglu
authors.forename: G S
authors.initials: GS
authors.lastname: Cherr
mesh_terms: D017130:Angioplasty / Q000379:methods; D001157:Arterial Occlusive Diseases / Q000601:surgery / Q000628:therapy*; D003131:Combined Modality Therapy; D004691:Endarterectomy; D005263:Femoral Artery / Q000601:surgery; D006801:Humans; D007083:Iliac Artery / Q000601:surgery; D007511:Ischemia / Q000601:surgery / Q000628:therapy*; D007866:Leg / Q000098:blood supply*; D015607:Stents