karbaker
Guest
Lost and do not know where to begin, can someone assist
greatly appreciate any help.
1. Selective catheter placement in the right external iliac artery.
2. Right external iliac angiogram.
3. Supervision and interpretation of the right external iliac
angiogram.
4. Percutaneous transluminal angioplasty of right external iliac
stenosis.
5. Deployment of 7 mm x 59 mm balloon expandable Abbott stent into the
right iliac lesion for suboptimal angioplasty result.
INDICATION FOR THE PROCEDURE: with multiple vascular risk factors and history of coronary artery
disease, now presenting with worsening claudication symptoms in the
right lower extremity. CT angio revealed a right iliac lesion.
Invasive angio and intervention is recommended because of the limiting
claudication symptoms.
DESCRIPTION OF PROCEDURE: After proper explanation of procedures,
indications, risks, and benefits, an informed consent is obtained from
Mitch Adams and he is brought over to cath lab in fasting state. The
patient is prepped and draped in the usual sterile fashion. IV
conscious sedation was induced using cath lab protocol. The right groin
area is then infiltrated with approximately 10 mL of 1% lidocaine and
satisfactory local anesthesia achieved. The right femoral artery is
cannulated using an 18-gauge needle and a 6-French arterial sheath is
placed. The sheath is flushed.
5000 units of heparin was administered intravenously.
A 6-French catheter was then advanced into the right iliac artery and a
right iliac angiogram was performed which demonstrated high-grade lesion
in the right external iliac vessel. Thereafter, we crossed this lesion
with a guidewire, and over the wire, we delivered a 6 x 30 angioplasty
balloon and lesion was pre-dilated. At the end of this dilatation,
dissection was seen, and there were significant recoil. Therefore
stenting was necessary. We delivered at 7 x 59 mm balloon expandable
Abbott stent and carefully confirmed the stent position across the right
external iliac area and the lesion where the dissection was, and after
adequately positioning the stent, we deployed the stent by inflating
balloon at 12 atmosphere pressure for 30 seconds with a complete balloon
expansion. Balloon was deflated and fine angiograms were taken which
showed excellent patency of brisk flow, no residual stenosis or
dissection. The patient did very well without any complications.
Thanks
Karen Baker
________________________________________
greatly appreciate any help.
1. Selective catheter placement in the right external iliac artery.
2. Right external iliac angiogram.
3. Supervision and interpretation of the right external iliac
angiogram.
4. Percutaneous transluminal angioplasty of right external iliac
stenosis.
5. Deployment of 7 mm x 59 mm balloon expandable Abbott stent into the
right iliac lesion for suboptimal angioplasty result.
INDICATION FOR THE PROCEDURE: with multiple vascular risk factors and history of coronary artery
disease, now presenting with worsening claudication symptoms in the
right lower extremity. CT angio revealed a right iliac lesion.
Invasive angio and intervention is recommended because of the limiting
claudication symptoms.
DESCRIPTION OF PROCEDURE: After proper explanation of procedures,
indications, risks, and benefits, an informed consent is obtained from
Mitch Adams and he is brought over to cath lab in fasting state. The
patient is prepped and draped in the usual sterile fashion. IV
conscious sedation was induced using cath lab protocol. The right groin
area is then infiltrated with approximately 10 mL of 1% lidocaine and
satisfactory local anesthesia achieved. The right femoral artery is
cannulated using an 18-gauge needle and a 6-French arterial sheath is
placed. The sheath is flushed.
5000 units of heparin was administered intravenously.
A 6-French catheter was then advanced into the right iliac artery and a
right iliac angiogram was performed which demonstrated high-grade lesion
in the right external iliac vessel. Thereafter, we crossed this lesion
with a guidewire, and over the wire, we delivered a 6 x 30 angioplasty
balloon and lesion was pre-dilated. At the end of this dilatation,
dissection was seen, and there were significant recoil. Therefore
stenting was necessary. We delivered at 7 x 59 mm balloon expandable
Abbott stent and carefully confirmed the stent position across the right
external iliac area and the lesion where the dissection was, and after
adequately positioning the stent, we deployed the stent by inflating
balloon at 12 atmosphere pressure for 30 seconds with a complete balloon
expansion. Balloon was deflated and fine angiograms were taken which
showed excellent patency of brisk flow, no residual stenosis or
dissection. The patient did very well without any complications.
Thanks
Karen Baker
________________________________________
Jim, thank you so much. I was totally lost on this.