A dual (brachial and contralateral femoral) approach for subintimal angioplasty of long ilio-femoral occlusive disease including the iliac ostium.
As techniques and device technology have improved, the success rates and long patency of ilio-femoral occlusive disease have also improved. In the case of extensive iliac occlusive disease, however, wire passage and handling remain a challenge due to the relatively weak guiding catheter backup support with the contralateral femoral approach. There has been no report on methods to overcome this problem. We performed a successful percutaneous translunimal angioplasty for long ilio-femoral occlusive disease including the iliac ostium by a dual approach including simultaneous brachial and contralateral femoral arteries for subintimal angioplasty.
Woo
Jong Shin
JS
Division of Cardiology, Department of Internal Medicine, Kyung Hee University Medical Center, Seoul, Korea.
Ha
Sang Jin
SJ
Kim
Weon
W