Application of rotational atherectomy for a calcified superficial femoral artery lesion

被引：2

作者：

Fukuda K. ^{[1
]}

Yokoi Y. ^{[1
]}

机构：

[1] Department of Cardiology, Kishiwada Tokushukai Hospital, 4-27-1 Kamori, Kishiwada, 596-8522, Osaka

来源：

Cardiovascular Intervention and Therapeutics | 2015年 / 30卷 / 4期

关键词：

Calcified lesion; Rotablator; Superficial femoral artery;

D O I：

10.1007/s12928-014-0300-6

中图分类号：

学科分类号：

摘要：

A 78-year-old man on dialysis with a history of femoro-popliteal bypass grafting of his right superficial femoral artery was presented with a recurrence of intermittent claudication. Angiography revealed new heavily calcified stenosis located distal to the anastomosis of the graft. A guide wire was crossed the lesion, however, a balloon catheter could not pass. Rotational atherectomy with Rotablator enabled the balloon to cross the lesion with full dilatation. Due to residual stenosis and dissection, a stent was implanted. Final angiogram showed no residual stenosis with TIMI 3 flow. The patient remained free of symptoms during the 1-year follow-up. © 2014, Japanese Association of Cardiovascular Intervention and Therapeutics.

引用

页码：351 / 355

页数：4

共 24 条

[1]

Bates M.C., Aburahma A.F., An update on endovascular therapy of the lower extremities, J Endovasc Ther, 11 Suppl 2, pp. II107-II127, (2004)

[2]

Zeller T., Current state of endovascular treatment of femoro-popliteal artery disease, Vasc Med, 12, 3, pp. 223-234, (2007)

[3]

Ansel G.M., Lumsden A.B., Evolving modalities for femoropopliteal interventions, J Endovasc Ther., 16, 2, pp. II82-II97, (2009)

[4]

Laird J.R., Limitations of percutaneous transluminal angioplasty and stenting for the treatment of disease of the superficial femoral and popliteal arteries, J Endovasc Ther, 13 Suppl 2, pp. II30-II40, (2006)

[5]

Kawamura Y., Ishii H., Aoyama T., Tanaka M., Takahashi H., Kumada Y., Toriyama T., Murohara T., Nitinol stenting improves primary patency of the superficial femoral artery after percutaneous transluminal angioplasty in hemodialysis patients: a propensity-matched analysis, J Vasc Surg, 50, 5, pp. 1057-1062, (2009)

[6]

Sakamoto Y., Hirano K., Iida O., Soga Y., Suzuki K., Muramatsu T., Tsukahara R., Five-year outcomes of self-expanding nitinol stent implantation for chronic total occlusion of the superficial femoral and proximal popliteal artery, Catheter Cardiovasc Interv, 82, 3, pp. E251-E256, (2013)

[7]

Zeller T., Rastan A., Sixt S., Schwarzwalder U., Schwarz T., Frank U., Burgelin K., Muller C., Rothenpieler U., Flugel P.C., Tepe G., Neumann F.J., Long-term results after directional atherectomy of femoro-popliteal lesions, J Am Coll Cardiol, 48, 8, pp. 1573-1578, (2006)

[8]

Rogers J.H., Laird J.R., Overview of new technologies for lower extremity revascularization, Circulation, 116, 18, pp. 2072-2085, (2007)

[9]

Franzone A., Ferrone M., Carotenuto G., Carbone A., Scudiero L., Serino F., Scudiero F., Izzo R., Piccolo R., Saviano S., Amato B., Perrino C., Trimarco B., Esposito G., The role of atherectomy in the treatment of lower extremity peripheral artery disease, BMC Surg, 12, (2012)

[10]

Schwarzwalder U., Zeller T., Debulking procedures: potential device specific indications, Tech Vasc Interv Radiol, 13, 1, pp. 43-53, (2010)

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