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Feasibility and Safety of Reverse Catheterization Technique of the Superficial Femoral Artery in Single-Stage Endovascular Treatment of Bilateral Infrainguinal Diseases.
- Source :
-
Vascular & Endovascular Surgery . Apr2019, Vol. 53 Issue 3, p206-211. 6p. - Publication Year :
- 2019
-
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]
- Subjects :
- *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
Subjects
Details
- Language :
- English
- ISSN :
- 15385744
- Volume :
- 53
- Issue :
- 3
- Database :
- Academic Search Index
- Journal :
- Vascular & Endovascular Surgery
- Publication Type :
- Academic Journal
- Accession number :
- 135388067
- Full Text :
- https://doi.org/10.1177/1538574418819913