The application of gooseneck snare in performing subintimal angioplasty for iliac artery occlusion
10.3969/j.issn.1008-794X.2014.09.015
- VernacularTitle:鹅颈套圈在髂动脉闭塞症内膜下血管成形术中的应用
- Author:
Bin XIONG
;
Tianhe YE
;
Chuansheng ZHENG
;
Ming LIANG
;
Jun ZENG
;
Huimin LIANG
- Publication Type:Journal Article
- Keywords:
iliac artery occlusion;
gooseneck snare;
subintimal angioplasty
- From:
Journal of Interventional Radiology
2014;(9):802-805
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the feasibility of using gooseneck snare combined with 0.035 inch loach guidewire for subintimal angioplasty in iliac artery occlusion , and to discuss its clinical indications. Methods During the period from October 2011 to May 2013, 3 cases with unilateral complete iliac artery occlusion were admitted to authors’ hospital. As the guidewire inserted from the healthy side could not returned into the true lumen once it entered into the subintimal space of the iliac artery , the puncture at the diseased side was carried out and the guidewire was pushed into the artery , but the catheter and the guidewire could not converge or anastomose in the subintimal site , gooseneck snare had to be used to grab the guidewire in subintimal site as to establish a path and completed the angioplasty. Results Successful and safe balloon dilatation and stent implantation were accomplished in all the 3 patients , and the patients complained of no special discomfort. Conclusion In performing the subintimal angioplasty for patients with iliac artery occlusion, the use of gooseneck snare combined with retrograde insertion of guidewire should be considered when it occurs that the guidewire can not return into the true lumen after it enters into the subintimal space. Nevertheless, gentle manipulation is first important in order to avoid the possible rupture of vessels.
