title: Transradial intervention for chronic total occlusion at the external iliac artery using a bidirectional approach through a single guiding catheter.
abstract: A 64-year-old male with intermittent claudication due to long chronic total occlusion of external iliac artery was successfully treated with a bi-directional approach. The retrograde guidewire was inserted into the ipsilateral internal iliac artery to the distal femoral artery through a collateral channel. The procedure was performed with a single guiding catheter through a single puncture of the left radial artery. Avoid puncture of the femoral artery may be less invasive with fewer bleeding complications.
authors.affiliation: Department of Cardiology, Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa, Japan. shinori3@tokai-u.jp.
authors.forename: Norihiko
authors.initials: N
authors.lastname: Shinozaki
authors.affiliation: Department of Vascular Surgery, Asama General Hospital, Saku, Japan.
authors.forename: Takashi
authors.initials: T
authors.lastname: Minowa
authors.affiliation: Department of Cardiology, Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa, Japan.
authors.forename: Yuji
authors.initials: Y
authors.lastname: Ikari
mesh_terms: D000792:Angiography; D002406:Catheterization, Peripheral / Q000295:instrumentation*; D057785:Catheters; D057510:Endovascular Procedures / Q000379:methods*; D004867:Equipment Design; D006801:Humans; D007083:Iliac Artery; D007383:Intermittent Claudication / Q000175:diagnosis / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D017534:Radial Artery; D014057:Tomography, X-Ray Computed
keywords: Endovascular treatment; Trans-collateral approach; Trans-radial intervention