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Introduction of novel intravascular ultrasound preceding with angled guiding catheter (I-PAD) technique to treat chronic total occlusions in peripheral artery disease.
- Source :
- CVIR Endovascular; 7/11/2024, Vol. 7 Issue 1, p1-4, 4p
- Publication Year :
- 2024
-
Abstract
- Background: The optimal endovascular treatment (EVT) for chronic total occlusion (CTO) lesions in patients with peripheral artery disease (PAD) has remained unestablished. We encountered a patient with PAD in whom CTO was successfully treated using a novel technique that involved intravascular ultrasound (IVUS) and angled guiding catheter: IVUS Preceding with Angled guiDing catheter (I-PAD) technique. Case presentation: A 74-year-old male presented with intermittent claudication attributed to CTO of the right external iliac artery. EVT was performed via the right common femoral artery. We retrogradely advanced the I-PAD system (i.e. partially extending the IVUS transducer portion from the tip of the angled guiding catheter) in the CTO lesion under the real-time guidance of IVUS imaging. We successfully traversed the CTO lesion without the use of a guidewire in approximately three minutes. The procedure concluded successfully without any procedure-related complications, following optimal stenting. Conclusions: The I-PAD might be an effective technique to accurately, quickly, and safely pass through CTO lesions. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 25208934
- Volume :
- 7
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- CVIR Endovascular
- Publication Type :
- Academic Journal
- Accession number :
- 178417057
- Full Text :
- https://doi.org/10.1186/s42155-024-00469-z