A novel "cheese wire" technique for stent positioning following difficult iliac artery subintimal dissection and aortic re-entry.
Subintimal wire dissection is a well-established method for traversing difficult vascular occlusions. This technique relies on re-entry of the true lumen distal to the occlusion, which may be difficult in diseased vessels with significant calcification. This case report describes a novel "cheese wire" technique to allow stent positioning without the use of proprietary re-entry devices.
Watkinson
A F
AF
The Royal Devon and Exeter Hospital and The Peninsula Medical School, Wonford Site, Barrack Road, Exeter, EX2 5DW, UK. anthony.watkinson@rdeft.nhs.uk
D000368:Aged; D000792:Angiography; D000800:Angioplasty, Balloon; D001012:Aorta, Abdominal; D001157:Arterial Occlusive Diseases / Q000000981:diagnostic imaging / Q000628:therapy*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D005263:Femoral Artery; D005471:Fluoroscopy; D006801:Humans; D007083:Iliac Artery; D007866:Leg / Q000098:blood supply; D008297:Male; D017755:Prosthesis Fitting; D015607:Stents