Reach Us +1 850 900 2634

International Journal of Cardiovascular ResearchISSN: 2324-8602

All submissions of the EM system will be redirected to Online Manuscript Submission System. Authors are requested to submit articles directly to Online Manuscript Submission System of respective journal.

Research Article, Int J Cardiovasc Res Vol: 4 Issue: 4

Revascularization of TASC C/D Iliac Occlusion Extended to Common/Superficial Femoral Artery using a Mixed Endoluminal and Subintimal Technique through the RadioBrachial Access

Gianluca Rigatelli1*, Dobrin Vassiliev2, Fabio dell’Avvocata1, Alberto Rigatelli1, Massimo Giordan1 and Paolo Cardaioli1
1Department of Cardiovascular Diagnosis and Endoluminal Interventions Unit, Rovigo general Hospital , Rovigo, Italy
2Department of Interventional Cardiology, Alexandrovska Hospital, Sofia University Medical School, Sofia, Bulgaria
Corresponding author :Gianluca Rigatelli, MD
Department of Cardiovascular Diagnosis and Endoluminal Interventions Unit, Rovigo General Hospital , Rovigo, Italy
Fax: +3904254513
E-mail: [email protected]
Received: February 14, 2015 Accepted: April 20, 2015 Published: April 22, 2015
Citation: Rigatelli G, Vassiliev D, dell’Avvocata F, Rigatelli A, Giordan M, et al. (2015) Revascularization of TASC C/D Iliac Occlusion Extended to Common/ Superficial Femoral Artery using a Mixed Endoluminal and Subintimal Technique through the Radio-Brachial Access J Cardiovasc Res 4:4. doi:10.4172/2324-8602.1000217

Abstract

 Revascularization of TASC C/D Iliac Occlusion Extended to Common/Superficial Femoral Artery using a Mixed Endoluminal and Subintimal Technique through the RadioBrachial Access

Background: Patients with Trans-Atlantic Inter Society Consensus (TASC) C and D iliac lesions extended to common and/or superficial femoral artery are a very challenging subset of patients. Objective: The aim of this study is to discuss the technical implication and short-term outcome of endovascular revascularization through the radio-brachial access using a mixed endoluminal and subintimal recanalization using a Mmxed endoluminal and subintimal technique. Methods: From January 2010 to Jannuary 2015 We prospectively enrolled 33 consecutive patients (mean age 79 ± 12.5 years) , with long (>80 mm) TASC C and TASC D symptomatic chronic iliac arteries occlusion extended to the common/superficial femoral artery, judged not candidates for surgery. Procedure was attempted through the left radial or brachial artery by means of a mixed endoluminal and subintimal recanalization technique using coronary and peripheral dedicated guidewires. Results: The procedure was successful in all but one case (96.9%), mean length and diameter of implanted stents were 160.4 ± 30.2 mm and 8.6 ± 1.4 mm (Everflex EV3 in 20 patients, Pulsar in 3 patients, Smart Flex in 10 patients) , respectively. The procedure was successful in 32/33 patients (96.9%): mean length and diameter of implanted stents were 160.4 ± 30.2 mm and 8.6 ± 1.4 mm (Everflex EV3 in 20 patients, Pulsar in 2 patients, Smart Flex in 10 patients) , respectively. Complications rate was 9.1% including two vessel ruptures and one distal embolization. Death rate was 3%. At a mean follow up of 18.1 ± 11.2 montshs, the primary and secondary patency rates were 90.1 and 96.9%, respectively with a significant improvement of ABI (0.29 ± 0.6 versus 0.88 ± 0.3, p<00.1) and Rutherford class (5.3 ± 0.8 versus 0.7 ± 1.9, P <0.01) compared to baseline. Conclusion: The described technique appeared to be effective and safe allowing for recanalization of long iliac occlusion extended to common/superficial femoral artery.

Keywords: Iliac artery angioplasty; Stent; Chronic occlusion

Track Your Manuscript

Share This Page

Media Partners