Profunda Anchor Technique for Ipsilateral Antegrade Approach in Endovascular Treatment of Superficial Femoral Artery Ostial Occlusion View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2014-12-19

AUTHORS

Uei Pua

ABSTRACT

Endovascular treatment of the superficial femoral artery (SFA) is challenging in the presence of flush ostial occlusion. One of the main challenges is the availability of access sites for intervention. Contralateral retrograde femoral access followed by cross-over and antegrade intervention while commonly used, may not be feasible in cases of altered iliac anatomy (e.g. kissing iliac stents). Ipsilateral antegrade intervention using common femoral artery (CFA) access in these instances while possible is typically challenging due to inadequate working length of the CFA for interrogation of the SFA ostium, compounded by the lack of sheath stability. The “profunda anchor” technique uses a buddy wire in the profunda femoris artery (PFA) to stabilize the sheath and allow catheter manipulation for antegrade intervention at the level of the SFA ostium. The PFA is further used as a conduit for deployment of closure device to avoid interference with the treated SFA. More... »

PAGES

453-456

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00270-014-1039-2

DOI

http://dx.doi.org/10.1007/s00270-014-1039-2

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1036798342

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/25522981


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