A 7Fr sheath was inserted into the left femoral artery. And then, we exchanged it for the Shuttle introducer sheath. We inserted 0.035-inch Terumo stiff wire, and it passed easily the total occluded lesion. Pre-ballooning with Mustang 4.0 x 150 mm was performed at right SFA (Figure 1). After that, stent implantation was done using self-expandable Epic stent 6.0 x 120mm. However, there was residual stenosis about 30% after stenting. Additional ballooning with Mustang 5.0 x 180mm was performed at lesion site. And then, another overlapping Epic stent 6.0 x 120mm was deployed ( Movie 2). Post-deployment balloon dilatation was performed using Mustang 5.0 x 180mm, sequentially (Figure 2). Final angiogram showed well-positioned stent in Right SFA ( Movie 3). |
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