title: Successful penetration and bougie dilatation with Brockenbrough needle for severely calcified occlusion in superficial femoral artery.
abstract: A 75-year-old hemodialysis patient with right critical limb ischemia received endovascular therapy for a chronic total occlusion (CTO) in a diffusely calcified superficial femoral artery (SFA). During a retrograde approach, a Brockenbrough needle (BN) was able to penetrate the calcified hard plaque formed in the middle segment of the CTO. Moreover, bougie dilatation with the BN allowed balloon crossing and stent deployment, even after failure to pass a 2.0-mm monorail balloon across the plaque. These results suggest that the BN offers a new therapeutic option in the penetration and modification of severely calcified CTO in SFA.
authors: Department of Cardiology, Sendai Kousei Hospital, 4-15 Hirose-machi, Aoba-Ku, Sendai, Miyagi, Japan, makitoshi0327@yahoo.co.jp.
authors: Toshio
authors: T
authors: Makita
authors: Kenji
authors: K
authors: Suzuki
authors: Kaname
authors: K
authors: Takizawa
authors: Tatsushi
authors: T
authors: Ootomo
authors: Naoto
authors: N
authors: Inoue
authors: Taiichirou
authors: T
authors: Meguro
mesh_terms: D000368:Aged; D001157:Arterial Occlusive Diseases / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery*; D004106:Dilatation / Q000295:instrumentation / Q000379:methods; D005263:Femoral Artery / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery*; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications; D008297:Male; D009339:Needles; D029424:Pulmonary Disease, Chronic Obstructive / Q000150:complications; D011859:Radiography; D012307:Risk Factors; D012720:Severity of Illness Index; D016896:Treatment Outcome; D061205:Vascular Calcification / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery*