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Single Tract Aortic Revascularization Technique in the Treatment of Aortoiliac Occlusive Disease

Sungsin Cho1, Se Jun Kim1, Jin Hyun Joh1

  • 1Division of Vascular Surgery, Department of Surgery, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, Seoul, Korea.

Vascular Specialist International
|June 28, 2024
PubMed

Insights

This study introduces a new technique for endovascular treatment of aortoiliac occlusive disease. It simplifies passing guidewires bilaterally through challenging lesions for successful revascularization.

Area of Science:

  • Vascular Surgery
  • Interventional Radiology

Background:

  • Endovascular treatment is a viable option for aortoiliac occlusive disease.
  • Achieving successful revascularization can be complicated by the challenge of bilateral guidewire passage through occlusions.

Purpose of the Study:

  • To present an innovative strategy for facilitating bilateral guidewire passage through long aortoiliac occlusive lesions.
  • To improve the success rate of endovascular revascularization in complex cases.

Main Methods:

  • A novel technique involving sequential guidewire passage and specialized catheter manipulation.
  • One guidewire is advanced unilaterally, followed by a contralateral guidewire using the up-and-over technique.
  • Both guidewires are then managed within a single angiographic catheter for advancement.

Main Results:

  • Successfully demonstrated a method to navigate bilateral guidewires through extensive aortoiliac occlusive lesions.
  • The technique allows for passage via a single aortic tract, simplifying the procedure.

Conclusions:

  • The described novel strategy offers an effective solution for the challenging step of bilateral guidewire passage in endovascular treatment of aortoiliac occlusive disease.
  • This approach can enhance procedural success and potentially reduce complications.

Keywords:
Aortoiliac occlusionChronic total occlusionEndovascular proceduresRecanalization

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