Procedure performed:
1. Iliac angiogram
2. Selective right lower extremity angiogram with a catheter placed in the right common femoral artery.
3. Selective right below the knee angiogram with the catheter placed into the right popliteal artery after the right popliteal artery was recanalized using Subintimal Technique.
4.PTA of the entire right SFA
5. Stenting of the right SFA
6. Balloon angioplasty of the deployed stent
7. Left iliofemoral angiogram
Procedure:
Following informed and consent a 5-French sheath was placed in the left common femoral artery using Micropuncture Technique. A 5-French Omni Flush Catheter was placed into the descending abdominal aorta just above the origin of the iliac arteries. 10cc of contrast was then injected using digital subtraction. The finding showed that both the common iliac and the external iliac arteries were patent. The internal iliac arteries were patent. The Omni Flush Catheter was attempted to be deflected into the right side but was unsuccessful.
An advantage Glide wire was then used and Omni Flush Cath was placed into the level of the right common femoral artery. 5-10 cc of contrast was then injected using digital subtraction and showed that the right common femoral artery was completely occluded.
The 5-French sheath was removed and a 6-French x 45 cm long Pinnacle Destination Sheath was placed at the level of the right common femoral artery.
The total occluded right SFA was then crossed with an advantage glidewire, a Kompfe Catheter followed by a Trailblazer Catheter. The Glidewire was then successfully placed into the reconstituted distal right SFA and popliteal artery. Balloon angioplasty of the right SFA was performed followed by stenting of the entire SFA.
Left iliofemoral angiogram was performed which showed that the recently performed atherectomy and angioplasty of the left SFA was still widely patent.
37226
75716
75774
??
Thank!
1. Iliac angiogram
2. Selective right lower extremity angiogram with a catheter placed in the right common femoral artery.
3. Selective right below the knee angiogram with the catheter placed into the right popliteal artery after the right popliteal artery was recanalized using Subintimal Technique.
4.PTA of the entire right SFA
5. Stenting of the right SFA
6. Balloon angioplasty of the deployed stent
7. Left iliofemoral angiogram
Procedure:
Following informed and consent a 5-French sheath was placed in the left common femoral artery using Micropuncture Technique. A 5-French Omni Flush Catheter was placed into the descending abdominal aorta just above the origin of the iliac arteries. 10cc of contrast was then injected using digital subtraction. The finding showed that both the common iliac and the external iliac arteries were patent. The internal iliac arteries were patent. The Omni Flush Catheter was attempted to be deflected into the right side but was unsuccessful.
An advantage Glide wire was then used and Omni Flush Cath was placed into the level of the right common femoral artery. 5-10 cc of contrast was then injected using digital subtraction and showed that the right common femoral artery was completely occluded.
The 5-French sheath was removed and a 6-French x 45 cm long Pinnacle Destination Sheath was placed at the level of the right common femoral artery.
The total occluded right SFA was then crossed with an advantage glidewire, a Kompfe Catheter followed by a Trailblazer Catheter. The Glidewire was then successfully placed into the reconstituted distal right SFA and popliteal artery. Balloon angioplasty of the right SFA was performed followed by stenting of the entire SFA.
Left iliofemoral angiogram was performed which showed that the recently performed atherectomy and angioplasty of the left SFA was still widely patent.
37226
75716
75774
??
Thank!