1. Feasibility and Safety of Reverse Catheterization Technique of the Superficial Femoral Artery in Single-Stage Endovascular Treatment of Bilateral Infrainguinal Diseases.
- Author
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Kadoya, Yoshito, Zen, Kan, Kato, Taku, Wada, Naotoshi, Wakana, Noriyuki, Yanishi, Kenji, Nakanishi, Naohiko, Nakamura, Takeshi, and Matoba, Satoaki
- Subjects
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FEMORAL artery , *ILIAC artery , *HEMATOMA , *ARTERIAL occlusions , *BLOOD transfusion , *ENDOVASCULAR surgery , *CATHETERIZATION , *ARTERIOVENOUS fistula , *HEMORRHAGE , *POSTOPERATIVE period , *RADIATION doses , *SURGICAL stents , *SURGICAL complications , *OPERATIVE surgery , *ULTRASONIC imaging , *TREATMENT effectiveness , *DISEASE incidence , *CONTRAST media , *RETROSPECTIVE studies , *ARTERIAL dissections , *FALSE aneurysms , *TREATMENT duration , *HOSPITAL mortality , *CALCINOSIS , *SURGERY , *THERAPEUTICS - Abstract
Purpose: We evaluated the feasibility and safety of the reverse catheterization technique of the superficial femoral artery (ReCAT) for single-stage endovascular treatment (EVT) in patients with bilateral infrainguinal diseases. Materials and Methods: We retrospectively evaluated 24 consecutive patients (overall median age: 79 years; male patients: 21 [87.5%]) who underwent EVT for bilateral infrainguinal diseases. The objective of ReCAT was to perform single-stage EVT in patients with bilateral infrainguinal diseases with a one-time unilateral femoral artery puncture. The main outcomes were the incidence of puncture site complications, including major bleeding or hematoma requiring transfusion, pseudoaneurysm, and arteriovenous fistula, and ReCAT procedure-related arterial dissection or perforation, which were assessed by ultrasonography on the day after the procedure. The secondary outcome measures were in-hospital mortality and in-hospital amputation. Results: Reverse catheterization technique of the superficial femoral artery was successful in 23 (95.8%) of the 24 patients; it failed in 1 patient due to severe calcification and a previously implanted stent in the ipsilateral iliac artery. The median operation time, radiation time, and the volume of contrast media used were 108 (84-142) minutes, 37 (27-55) minutes, and 111 (80-157) mL, respectively. There were no incidences of puncture site complications and arterial dissection related to the ReCAT procedure. One case of vessel perforation in a branch of the ipsilateral superficial femoral artery occurred due to flipped guidewire injury. Conclusion: Reverse catheterization technique of the superficial femoral artery is safe and effective in performing single-stage EVT for bilateral infrainguinal diseases. It might also reduce the number of EVTs and complications due to multiple femoral artery punctures. [ABSTRACT FROM AUTHOR]
- Published
- 2019
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