willnat2
Networker
I am having trouble with a couple of reports. I hope that someone will be albe to help me. Here is the first one.
Attempted percutaneous;luminal angioplasty of the left superficial femoral artery.
Procedure in Detail: Ther right groin was prepped and draped in the usual manner. The skin infiltrated with Xylocaine 1%. Using the Cournand needle, the right femoral artery was entered and a J wire . A 7-French sheath was positioned in place and 5000 units of heparin given at this point. We used left internal mammary artery diagnostic catheter to go over to the left common iliac and used a glidewire at which time that allowed us to exchange the system for a J curve 7-French peripheral sheath that was advanced all the way to the left external iliac. We then used 2 glidewires, one that going to the profunda artery and the other one that was moved to the superficial femoral artery. Using a Quick Cross catheter, we tried to advance our way through the total occlusion of the superficial femoral artery gradually' however due to severe calcification of the vessel, the wire and the Quick Cross entered a false lumen. After multiple attempts to try to advance the wire into the real lumen and passed a calcified artery, we decided to stop the procedure after trying several differernt wires due to inability to cross the artery. Subsequently after almost 2 hours of work, we decided to stop the porcedure and transfer the patient back to his room with a 7-French short sheath switched to the right femoral artery. The previous wquipment was previously exhcanged over 0.35 wire.
Impression: Unsuccessful percutaneous transluminal angioplasty of the left superficial femoral artery due to inability to advace the wire and a Quick Cross catheter passed the proximal portion of the left superficial femoral artery.
I would appreciate any help.
Thanks,
Leslie
.
Attempted percutaneous;luminal angioplasty of the left superficial femoral artery.
Procedure in Detail: Ther right groin was prepped and draped in the usual manner. The skin infiltrated with Xylocaine 1%. Using the Cournand needle, the right femoral artery was entered and a J wire . A 7-French sheath was positioned in place and 5000 units of heparin given at this point. We used left internal mammary artery diagnostic catheter to go over to the left common iliac and used a glidewire at which time that allowed us to exchange the system for a J curve 7-French peripheral sheath that was advanced all the way to the left external iliac. We then used 2 glidewires, one that going to the profunda artery and the other one that was moved to the superficial femoral artery. Using a Quick Cross catheter, we tried to advance our way through the total occlusion of the superficial femoral artery gradually' however due to severe calcification of the vessel, the wire and the Quick Cross entered a false lumen. After multiple attempts to try to advance the wire into the real lumen and passed a calcified artery, we decided to stop the procedure after trying several differernt wires due to inability to cross the artery. Subsequently after almost 2 hours of work, we decided to stop the porcedure and transfer the patient back to his room with a 7-French short sheath switched to the right femoral artery. The previous wquipment was previously exhcanged over 0.35 wire.
Impression: Unsuccessful percutaneous transluminal angioplasty of the left superficial femoral artery due to inability to advace the wire and a Quick Cross catheter passed the proximal portion of the left superficial femoral artery.
I would appreciate any help.
Thanks,
Leslie
.
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