Transradial intervention for chronic total occlusion at the external iliac artery using a bidirectional approach
Norihiko Shinozaki1, Takashi Minowa2, Yuji Ikari3
1Department of Cardiology, Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa, Japan. shinori3@tokai-u.jp.
Abstract:
A 64-year-old male with intermittent claudication due to long chronic total occlusion of external iliac artery was successfully treated with a bi-directional approach. The retrograde guidewire was inserted into the ipsilateral internal iliac artery to the distal femoral artery through a collateral channel. The procedure was performed with a single guiding catheter through a single puncture of the left radial artery. Avoid puncture of the femoral artery may be less invasive with fewer bleeding complications.
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