Impact of a bidirectional approach via radial and popliteal arteries for the treatment of chronic total occlusion of lower limb artery: A case report

Hidetsugu Sakai, Naotsugu Oyama, Shogo Imagawa, Noriaki Kishimoto, Hiroyuki Tsutsui

Research output: Contribution to journalArticle

Abstract

A 49-year-old man with poorly controlled diabetes was admitted to Kushiro Rosai Hospital, Hokkaido, Japan after scalding both feet with boiling water. Because of poor healing, he was assessed for peripheral arterial disease. Angiography revealed total occlusion of the right common and external iliac arteries, diffuse stenosis of the right superficial femoral artery, focal stenosis of the left common iliac artery and chronic total occlusion of the left superficial femoral artery. A staged procedure with bidirectional approach via the radial and popliteal arteries was attempted. During the procedures, the patient was in the prone position on the catheterization table, and bidirectional guidewire manipulation was performed. All of the lesions were successfully stented. The patient was not required to change positions during the procedure, which can be performed by a single operator. The bidirectional approach is effective in the setting of transcatheter treatment of chronic total occlusive disease.

Original languageEnglish
Pages (from-to)27-30
Number of pages4
JournalInternational Journal of Angiology
Volume16
Issue number1
DOIs
Publication statusPublished - Mar 1 2007
Externally publishedYes

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Popliteal Artery
Radial Artery
Lower Extremity
Arteries
Iliac Artery
Femoral Artery
Pathologic Constriction
Prone Position
Peripheral Arterial Disease
Catheterization
Foot
Angiography
Japan
Therapeutics
Water

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine

Cite this

Impact of a bidirectional approach via radial and popliteal arteries for the treatment of chronic total occlusion of lower limb artery : A case report. / Sakai, Hidetsugu; Oyama, Naotsugu; Imagawa, Shogo; Kishimoto, Noriaki; Tsutsui, Hiroyuki.

In: International Journal of Angiology, Vol. 16, No. 1, 01.03.2007, p. 27-30.

Research output: Contribution to journalArticle

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