Three-Dimensional Angiography-Guided Percutaneous Transluminal Angioplasty for Distal Aorta and Bi-Iliac Chronic Total Occlusion.
10.4070/kcj.2013.43.4.261
- Author:
Dong Hyeok KIM
1
;
Seung Woon RHA
;
Hyungdon KOOK
;
Woohyeun KIM
;
Sun Ki LEE
;
Suk Kyu OH
;
Cheol Ung CHOI
;
Dong Joo OH
Author Information
1. Cardiovascular Center, Korea University Guro Hospital, Seoul, Korea. swrha617@yahoo.co.kr
- Publication Type:Case Report
- Keywords:
Percutaneous transluminal angioplasty;
Aorta, abdominal;
Occulusion;
Angiography;
Imaging, three-dimensional
- MeSH:
Angiography;
Angioplasty;
Aorta;
Aorta, Abdominal;
Arteries;
Catheters;
Iliac Artery;
Imaging, Three-Dimensional
- From:Korean Circulation Journal
2013;43(4):261-264
- CountryRepublic of Korea
- Language:English
-
Abstract:
Percutaneous recanalization of chronic total occlusions (CTOs) in peripheral arteries, especially TASC D classification including the distal aorta and both iliac arteries is still technically challenging. The conventional technique using standard guidewires and catheters guided by computed tomography and angiography can achieve a limited initial success, depending on lesion characteristics and operator's experience. A special imaging technique using 3-dimensional rotational angiography and spatio-temporal reconstruction with endoview for a better examination of the proximal stump, exact obstruction location, and distal stump direction in a stumpless lesion can be indispensable for successful intervention. We report a successful revascularization case of stumpless distal aorta and bi-iliac CTO guided by this specialized imaging technique.
