- Procedural step: A 7 Fr sheath was inserted into the left femoral artery. We tried through right EIA-SFA lesions using BMW wire but failed, so using conquest wire, then could pass the lesion. First target was right SFA lesion. After pre-dilation using Pleon 20 x 5 mm, Synergy 20 x 4 mm, Rider 40 x 3.5 mm, and 80 x 8 mm, we inserted 3 SMART-COMTROL stents (150 x 6 mm (x2) and 60 x 7 mm). After then, we performed post-dilation using Rider 80 x 6 mm (Figure 4, Figure 5, Figure 6, Figure 7). However, we found unfortunately thrombus formation at stent site and no-reflow was observed (Figure 8). We decided to inject urokinase 400,000 IU bolus via catheter and infused 100,000 IU/hour for 3 hours. After that, finally the flow was recovered (Figure 9). So we continued the next procedures for right EIA lesions. After direct stenting with SMART-CONTROL 100 x 8 mm, post-dilatation was performed using Rider 40 x 7 mm (Figure 10). Finally, we could achieve good patency (Figure 11). |
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