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Iliac Stenting
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The iliac stenting process involves a sheath being placed in the artery and vein, followed by a catheter being inserted through the sheath and a special dye injected into the arteries to take pictures. Next, a small guidewire is advanced through the artery across the blockage. The balloon catheter is positioned across the plaque and inflated to mold the plaque into the wall of the artery.
Subintimal Snare-assisted Dissection for Iliac Recanalization: A Potentially Useful Tool
We describe the use of a snare to dissect the subintimal space and allow the passage of a wire up, over and across a totally occluded iliac artery. The technique was used with both retrograde and up-and-over wires in the subintimal space. It is a useful adjunct in technically challenging cases. Key words: iliac occlusion, recanalization, stenting, snare
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A Quick Fix: Graft Rescue for Iatrogenic Pseudoaneurysm
We present a case of delayed rupture of a femoropopliteal saphenous vein bypass graft after stent-supported angioplasty, resulting in a large, severely symptomatic pseudoaneurysm of the thigh. This was successfully treated with deployment of a covered stent graft. The possible mechanisms of pseudoaneurysm formation in this case are discussed, and a brief review of the literature regarding the endovascular management of this clinical entity is offered.
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Propaedeutical Endovascular Interventions in High-Risk Candidates for Coronary Surgery
Four clinical settings were identified: renal artery stenting prior to coronary surgery (7 patients); iliac artery angioplasty and stenting (6 patients) (in order to facilitate aortic balloon pump insertion after surgery); subclavian artery angioplasty and stenting propaedeutical to arterial conduits bypass surgery (1 patients); and carotid artery stenting before coronary surgery (2 patients). Results We identified four clinical settings: 1) Renal artery stenting prior to coronary surgery (7...
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Recanalization of Occluded Iliac Artery Allowing Abdominal Aortic Aneurysm Stent Graft
Recanalization of Occluded Iliac Artery Allowing Abdominal Aortic Aneurysm Stent Graft Feature: Recanalization of Occluded Iliac Artery Allowing Abdominal Aortic Aneurysm Stent Graft - Michael Wholey, MD, MBA, ? Initially, the patient was to undergo an endovascular stent graft repair for his abdominal aortic aneurysm and occluded iliac artery; however, the decision was made to recanalize the long segment occlusion and convert him to a standard bifurcated endograft. Vascular Disease ...
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