AI Article Synopsis
- * A 74-year-old male with CTO in his right external iliac artery was successfully treated using the I-PAD method, which combines intravascular ultrasound (IVUS) and an angled guiding catheter.
- * The procedure was completed quickly, without complications, suggesting that the I-PAD technique could improve the efficiency and safety of treating CTO lesions.
Article Abstract
Background: The optimal endovascular treatment (EVT) for chronic total occlusion (CTO) lesions in patients with peripheral artery disease (PAD) has remained unestablished. We encountered a patient with PAD in whom CTO was successfully treated using a novel technique that involved intravascular ultrasound (IVUS) and angled guiding catheter: IVUS Preceding with Angled guiDing catheter (I-PAD) technique.
Case Presentation: A 74-year-old male presented with intermittent claudication attributed to CTO of the right external iliac artery. EVT was performed via the right common femoral artery. We retrogradely advanced the I-PAD system (i.e. partially extending the IVUS transducer portion from the tip of the angled guiding catheter) in the CTO lesion under the real-time guidance of IVUS imaging. We successfully traversed the CTO lesion without the use of a guidewire in approximately three minutes. The procedure concluded successfully without any procedure-related complications, following optimal stenting.
Conclusions: The I-PAD might be an effective technique to accurately, quickly, and safely pass through CTO lesions.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11239645 | PMC |
| http://dx.doi.org/10.1186/s42155-024-00469-z | DOI Listing |
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