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The Results of a New Distal Protection Method in Intervention for Chronic Total Occlusion of the Superficial Femoral Artery
Joint Authors
Funatsu, Atsushi
Enjoji, Yoshihisa
Nakamura, Shigeru
Ejima, Emiko
Utsunomiya, Makoto
Muranishi, Hiromi
Shibata, Kensaku
Kobayashi, Tomoko
Mizobuchi, Masahiro
Source
Cardiology Research and Practice
Issue
Vol. 2009, Issue 2009 (31 Dec. 2009), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2009-09-01
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Aims.
To determine the efficacy of a new distal protection method in SFA CTO interventions.
Methods and Results.
From June 2003 to February 2009, ninety-two consecutive, chronic total occlusions of superficial femoral arteries were treated with catheter-based intervention using a bidirectional approach.
Nine of these cases were managed with our original, distal protection method, based on symptoms, angiographic images, wire resistance, and intravascular ultrasound images.
The average age was 73 years; eight patients were male.
The mean occlusion length was 17.1 cm.
A distal protection balloon was inserted from the retrograde sheath in the popliteal artery and placed distal to the occluded lesion after successful wire crossing.
Lesion dilatation with a balloon was performed antegradely and debris was removed by 6Fr.
guiding catheter.
Debris was retrieved from all lesions, consisting mainly of thrombus.
Where we decided not to use the distal protection method, there was no distal thromboembolism.
Conclusion.
In SFA-CTO intervention, the risk of distal embolization is 10%, which can be anticipated and eliminated by the distal protection method.
American Psychological Association (APA)
Kobayashi, Tomoko& Funatsu, Atsushi& Ejima, Emiko& Muranishi, Hiromi& Utsunomiya, Makoto& Shibata, Kensaku…[et al.]. 2009. The Results of a New Distal Protection Method in Intervention for Chronic Total Occlusion of the Superficial Femoral Artery. Cardiology Research and Practice،Vol. 2009, no. 2009, pp.1-7.
https://search.emarefa.net/detail/BIM-490663
Modern Language Association (MLA)
Kobayashi, Tomoko…[et al.]. The Results of a New Distal Protection Method in Intervention for Chronic Total Occlusion of the Superficial Femoral Artery. Cardiology Research and Practice No. 2009 (2009), pp.1-7.
https://search.emarefa.net/detail/BIM-490663
American Medical Association (AMA)
Kobayashi, Tomoko& Funatsu, Atsushi& Ejima, Emiko& Muranishi, Hiromi& Utsunomiya, Makoto& Shibata, Kensaku…[et al.]. The Results of a New Distal Protection Method in Intervention for Chronic Total Occlusion of the Superficial Femoral Artery. Cardiology Research and Practice. 2009. Vol. 2009, no. 2009, pp.1-7.
https://search.emarefa.net/detail/BIM-490663
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-490663