title: Successful recanalization of a longstanding right common iliac artery occlusion with a radiofrequency guidewire.
abstract: We describe a case of successful recanalization of a longstanding right common iliac occlusion with a radiofrequency (RF) guidewire. The patient had been symptomatic with claudication for 3 years, and a preliminary attempt to cross the lesion using conventional techniques proved unsuccessful. Using low and medium intensity RF pulses and a PowerWire, a tract through the occlusion was established, which allowed subsequent stenting with an excellent angiographic result and a good immediate clinical response. We propose this as a useful technique in the peripheral arterial system for occlusive lesions not amenable to traditional recanalization techniques.
authors.affiliation: Department of Radiology, John Radcliffe Hospital, Headington, Oxford, OX3 9DS, UK.
authors.forename: C R
authors.initials: CR
authors.lastname: Tapping
authors.forename: I F
authors.initials: IF
authors.lastname: Uri
authors.forename: S
authors.initials: S
authors.lastname: Dixon
authors.forename: M J
authors.initials: MJ
authors.lastname: Bratby
authors.forename: S
authors.initials: S
authors.lastname: Anthony
authors.forename: R
authors.initials: R
authors.lastname: Uberoi
mesh_terms: D000792:Angiography; D001157:Arterial Occlusive Diseases / Q000175:diagnosis / Q000601:surgery*; D017115:Catheter Ablation / Q000295:instrumentation*; D016292:Procedural Sedation; D003287:Contrast Media; D019786:Gadolinium DTPA; D006801:Humans; D007083:Iliac Artery; D008297:Male; D008875:Middle Aged; D018084:Ultrasonography, Interventional
chemical_list: D003287:Contrast Media; C064925:gadodiamide; D019786:Gadolinium DTPA