Slides Endovascular Peripheral Disease SFA
SFA Intervention via Retrograde Approach
- Operator : Seung-Whan Lee
SFA Intervention via Retrograde Approach |
- Operator: Seung-Whan Lee. MD |
Clinical Information |
- Relevant clinical history and physical
exam: - Relevant test results prior to catheterization: - Relevant angiography findings: |
Interventional Management |
- Procedural step: A 7 Fr sheath was inserted into the right femoral artery. We could not cross the total occluded lesion of left SFA using Shinobi, Miracle 12g, Conquest Pro12, BMW, Choice PT supported by FINECROSS catheter. Therefore we inserted another sheath into left popliteal artery. We crossed lesion using BMW via retrograde approach and externalized. Then, percutaneous transluminal angioplasty was performed using a 20 x 2.5 mm Sprinter balloon and 20 x 4.0 mm Ultra soft balloon (Figure 2). Next, two overlapping SMART stent (100 x 6.0 mm) were successfully deployed (Figure 3). Good patency was achieved (Figure 4). |
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