title: Iliac Artery Stenting Combined with Open Iliofemoral Endarterectomy Facilitated by a Novel Ultrasonic Ablation Instrument for Diffuse Iliofemoral Occlusive Disease.
abstract: An 81-year-old male complained of intermittent claudication of the right leg. Computed tomography (CT) revealed a right external iliac artery (EIA) stenosis with severe calcification extending to the common femoral artery. A hybrid procedure of endarterectomy and stenting was performed. EIA endarterectomy was performed using a novel Cavitron Ultrasonic Surgical Aspirator which ablated the inside of the distal EIA without arterial injury. A stent graft was placed in the proximal EIA covering the margin of endarterectomized distal EIA. Postoperative CT showed no stenosis, and symptoms in the leg disappeared. This could be an alternative procedure for iliofemoral occlusive disease.
authors.affiliation: Department of Cardiovascular Surgery, Hiroshima University Hospital, Hiroshima, Japan. Electronic address: shiny@mte.biglobe.ne.jp.
authors.forename: Shinya
authors.initials: S
authors.lastname: Takahashi
authors.affiliation: Department of Cardiovascular Surgery, Hiroshima University Hospital, Hiroshima, Japan.
authors.forename: Takahiro
authors.initials: T
authors.lastname: Taguchi
authors.affiliation: Department of Cardiovascular Medicine, Hiroshima University Hospital, Hiroshima, Japan.
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Dohi
authors.affiliation: Department of Cardiovascular Surgery, Hiroshima University Hospital, Hiroshima, Japan.
authors.forename: Taijiro
authors.initials: T
authors.lastname: Sueda
mesh_terms: D000369:Aged, 80 and over; D000800:Angioplasty, Balloon / Q000295:instrumentation*; D001157:Arterial Occlusive Diseases / Q000175:diagnosis / Q000601:surgery / Q000628:therapy*; D003251:Constriction, Pathologic; D004691:Endarterectomy / Q000295:instrumentation*; D005263:Femoral Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D059708:Ultrasonic Surgical Procedures / Q000295:instrumentation*; D061205:Vascular Calcification / Q000175:diagnosis / Q000601:surgery / Q000628:therapy*