title: Sheath rendezvous method: a novel distal protection technique during endovascular treatment of subclavian artery occlusions.
abstract: To describe an innovative distal protection technique, "sheath rendezvous method", during endovascular treatment for subclavian arterial occlusions. 4.5F and 6F guiding sheath were inserted from left brachial and common femoral artery, respectively. 0.014″ guidewire retrogradely passed through occlusion and into antegrade sheath to establish a pull-through system. 3.0 mm balloon was used to expand occlusion and anchor to deliver retrograde sheath into antegrade one. Both sheaths locked by balloon dilatation crossed occlusion until antegrade sheath passed over lesion. Balloon expandable stent was delivered within antegrade sheath. Sheath was removed, and stent was implanted. We obtained an excellent outcome without complications.
authors.affiliation: Cardiovascular Center, Tokeidai Memorial Hospital, 2-3, Higashi 1, Kita 1, Chuo-ku, Sapporo, Hokkaido, 060-0031, Japan. t-haraguchi@tokeidaihosp.or.jp.
authors.forename: Takuya
authors.initials: T
authors.lastname: Haraguchi
authors.affiliation: Cardiovascular Center, Tokeidai Memorial Hospital, 2-3, Higashi 1, Kita 1, Chuo-ku, Sapporo, Hokkaido, 060-0031, Japan.
authors.forename: Kazushi
authors.initials: K
authors.lastname: Urasawa
authors.affiliation: Department of Cardiology, Miyazaki Medical Association Hospital, Miyazaki, Japan.
authors.forename: Tatsuya
authors.initials: T
authors.lastname: Nakama
authors.affiliation: Cardiovascular Center, Tokeidai Memorial Hospital, 2-3, Higashi 1, Kita 1, Chuo-ku, Sapporo, Hokkaido, 060-0031, Japan.
authors.forename: Yuya
authors.initials: Y
authors.lastname: Nakagawa
authors.affiliation: Cardiovascular Center, Tokeidai Memorial Hospital, 2-3, Higashi 1, Kita 1, Chuo-ku, Sapporo, Hokkaido, 060-0031, Japan.
authors.forename: Michinao
authors.initials: M
authors.lastname: Tan
authors.affiliation: Cardiovascular Center, Tokeidai Memorial Hospital, 2-3, Higashi 1, Kita 1, Chuo-ku, Sapporo, Hokkaido, 060-0031, Japan.
authors.forename: Ryoji
authors.initials: R
authors.lastname: Koshida
authors.affiliation: Cardiovascular Center, Tokeidai Memorial Hospital, 2-3, Higashi 1, Kita 1, Chuo-ku, Sapporo, Hokkaido, 060-0031, Japan.
authors.forename: Katsuhiko
authors.initials: K
authors.lastname: Sato
mesh_terms: D000368:Aged; D000792:Angiography; D001157:Arterial Occlusive Diseases / Q000175:diagnosis / Q000601:surgery*; D057510:Endovascular Procedures / Q000379:methods*; D006801:Humans; D008297:Male; D013348:Subclavian Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D018616:Ultrasonography, Doppler, Duplex
keywords: Chronic total occlusion; Distal protection; Peripheral arterial disease; Peripheral arterial occlusive disease; Subclavian artery