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Research Article Open access CC BY 3.0

Recanalization of TASC C/D Iliac Occlusion: An Improved Technique through the Radio-brachial Access

Gianluca Rigatelli, Dobrin Vassilev, Kristian Ivanov, Fabio Dell’Avvocata, R. N. Stefano Barison, R. T. Lorella Tiberio, Paolo Cardaioli

Cardiology and Angiology: An International Journal · pp. 174–179 · Published 4 Jun 2014

10.9734/CA/2014/11123

Abstract

We describe a technique for reanalyzing total chronic long occlusion of the iliac arteries (TASC/D) through the radio-brachial approach. After having obtained the arterial  approach, a 6F 90cm long Shuttle sheath (Cook Group, Bloomington, IN, USA) or a 4F 100cm Fortress sheath (Biotronik AG, Bulack, Switzerland) has been inserted into the left radial or brachial artery reaching the distal aorta, where an injection through the catheter has been made to assess the proximal occlusion cap. A 125 long MPA 4 or 5F catheter has been advanced over a coronary. 014” CTO guide-wire. The coronary guide-wire has been replaced with a Terumo guide-wire leaving the catheter into the first 4-5cm to the occlusion and a subintimal recanalization of the distal portion of the occlusion has been accomplished. Balloon dilation and implantation of long or multiple self-expandable stent have been accomplished to obtain patency of the vessels. The described technique appeared to be simple and safe allowing for recanalization of long iliac segments independently from the access, femoral or radial/brachial used. Large studies with long follow up are warranted to assess long-term effectiveness.

Iliac artery angioplasty stent chronic occlusion

References (7)

  1. 1 Inter-Society Consensus for the Management of Peripheral Arterial Disease (TASC II) [DOI]
  2. 2 True lumen re-entry devices facilitate subintimal angioplasty and stenting of total chronic occlusions: Initial report [DOI]
  3. 3 Technique, Complication, and Long-Term Outcome for Endovascular Treatment of Iliac Artery Occlusion [DOI]
  4. 4 Novel application of the “CART” technique for endovascular treatment of external iliac artery occlusions [DOI]
  5. 5 The Feasibility of Reentry Device in Recanalization of TASC C and D Iliac Occlusions [DOI]
  6. 6 Aortoiliac Angiography During Coronary Artery Angiography Detects Significant Occult Aortoiliac and Renal Artery Atherosclerosis in Patients with Coronary Atherosclerosis [DOI]
  7. 7 Bifurcated Endograft in Aortoiliac Type C and D Lesions: Long-Term Results [DOI]

Cited by 4

Iliac Artery Stenosis

Gianluca Rigatelli, Aravinda Nanjundappa, Nelson Bernardo · Practical Handbook of Advanced Interventional Cardiology · 2020

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