title: Transradial iliac artery intervention with dual downstream embolic protection.
abstract: We report a case of a thrombotic common iliac lesion with concern for elevated risk of downstream embolization during intervention. In this case, a transradial approach enabled the novel, simultaneous deployment of two embolic protection devices, one in the internal iliac artery and the other in the common femoral artery, for complete downstream protection during intervention. An endovascular stent, which accommodates a 0.035-inch wire lumen, was able to be delivered over both 0.014-inch protection device wires simultaneously and was successfully deployed with evidence of captured embolic material.
authors.affiliation: Division of Cardiovascular Diseases, Mayo Clinic, Rochester, MN 55905, USA.
authors.forename: Sridevi R
authors.initials: SR
authors.lastname: Pitta
authors.forename: Gregory W
authors.initials: GW
authors.lastname: Barsness
authors.forename: Amir
authors.initials: A
authors.lastname: Lerman
authors.forename: Verghese
authors.initials: V
authors.lastname: Mathew
authors.forename: Rajiv
authors.initials: R
authors.lastname: Gulati
mesh_terms: D001157:Arterial Occlusive Diseases / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D003251:Constriction, Pathologic; D057505:Embolic Protection Devices; D004617:Embolism / Q000209:etiology / Q000517:prevention & control*; D057510:Endovascular Procedures / Q000295:instrumentation*; D005263:Femoral Artery / Q000000981:diagnostic imaging; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging; D008297:Male; D008875:Middle Aged; D017534:Radial Artery / Q000000981:diagnostic imaging; D015641:Radiography, Interventional; D015607:Stents; D013927:Thrombosis / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional