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Our doctor did iliacs-right, iliacs w/ runoffs-right, and PTA of right SFA X 3.
OP REPORT READS:
INDICATION FOR PROCEDURE: SEVERE CLAUDICATION OF THE RIGHT LOWER EXTREMITY. ABNORMAL DOPPLER STUDIES.
DESCRIPTION OF PROCEDURE:
Under local anesthetic, utilizing 2% Xylocaine the left femoral artery was cannulated and a 6-French sheath was introduced. The short internal mammary was utilized in order to cannulate selectively the right iliac artery. This was done with a Wholey wire. The catheter was advanced into the common iliac where same injection was done, injecting 35 ml of Visipaque, with runoff down to the toes. Once this was done, several lesions in the femoral artery were identified. The patient had previous stents deployed in the superficial femoral artery that had a high degree of restenosis in the distal portion of the most distal stent. It was decided then to perform peripheral angioplasty. A 7 x 4 balloon was utilized. It was inflated until complete resolution of the obstruction was achieved. A pullback across was done and it was placed in the 2nd stent that also had some degree of restenosis. Again it was inflated until the obstruction was abated. It was noted that proximally there was a lesion in the superficial femoral artery. This was also angioplastied with the balloon inflated to 6 atmospheres. After that procedure the repeat injection disclosed an excellent angiographic result. Prior to the procedure the sheath was exchanged for a short sheath 45 cm destination sheath. This allowed the deployment of the balloon. After the procedure, the wire was placed in the ascending aorta and the sheath was exchanged for a 7-French short sheath. After that, the wire was removed and the patient was sent to the hoding area to achieve hemostasis. The patient tolerated the procedure very well and the result was angiographically good.
Our doctor did iliacs-right, iliacs w/ runoffs-right, and PTA of right SFA X 3.
OP REPORT READS:
INDICATION FOR PROCEDURE: SEVERE CLAUDICATION OF THE RIGHT LOWER EXTREMITY. ABNORMAL DOPPLER STUDIES.
DESCRIPTION OF PROCEDURE:
Under local anesthetic, utilizing 2% Xylocaine the left femoral artery was cannulated and a 6-French sheath was introduced. The short internal mammary was utilized in order to cannulate selectively the right iliac artery. This was done with a Wholey wire. The catheter was advanced into the common iliac where same injection was done, injecting 35 ml of Visipaque, with runoff down to the toes. Once this was done, several lesions in the femoral artery were identified. The patient had previous stents deployed in the superficial femoral artery that had a high degree of restenosis in the distal portion of the most distal stent. It was decided then to perform peripheral angioplasty. A 7 x 4 balloon was utilized. It was inflated until complete resolution of the obstruction was achieved. A pullback across was done and it was placed in the 2nd stent that also had some degree of restenosis. Again it was inflated until the obstruction was abated. It was noted that proximally there was a lesion in the superficial femoral artery. This was also angioplastied with the balloon inflated to 6 atmospheres. After that procedure the repeat injection disclosed an excellent angiographic result. Prior to the procedure the sheath was exchanged for a short sheath 45 cm destination sheath. This allowed the deployment of the balloon. After the procedure, the wire was placed in the ascending aorta and the sheath was exchanged for a 7-French short sheath. After that, the wire was removed and the patient was sent to the hoding area to achieve hemostasis. The patient tolerated the procedure very well and the result was angiographically good.
