Slides Endovascular Peripheral Disease BTK
Successful laser ablation and Kissing Balloon Dilation for below-knee bifurcation CTO
- Operator : Kenji Suzuki
Successful laser ablation and Kissing Balloon Dilation for below-knee bifurcation CTO |
- Operator: Kenji Suzuki, MD |
Clinical Information |
- Relevant clinical history and physical
examination: - Relevant test results prior to catheterization: - Relevant catheterization findings: |
Interventional Management |
- Procedural step: We performed percutaneous peripheral intervention via right femoral artery. Using antegrade puncture, long sheath was inserted. At first, we used 6/40mm POBA for Luinexx in-stent restensis (Figure 3, Figure 4, Figure 5). And next, Ruby intermediate with Ichibanyari PAD could cross the lesion to postero-tibial artery (PTA) (Figure 6). We used Laser 1.4mm ablation to PTA (Figure 7, Figure 8), then Genity 2.0/100 POBA (Figure 9, Figure 10, Figure 11). De ja-vu could pass the lesion to peroneal artery (PA), and Genity 2.5/100 was dilated (Figure 12, Figure 13). We could gain good flow to PA, but no reflow to PTA occurred (Figure 14). Finally, we did kissing balloon dilation using Ikazuchi PAD 2.5/40 to PTA and Genity 2.5/100 to PA (Figure 15). We obtained good flow to both arteries (Figure 16, Figure 17). |
Leave a comment