Three-dimensional angiography-guided percutaneous transluminal angioplasty for distal aorta and bi-iliac chronic total occlusion

Dong Hyeok Kim, Seung Woon Rha, Hyungdon Kook, Woohyeun Kim, Sun Ki Lee, Suk Kyu Oh, Cheol Ung Choi, Dong Joo Oh

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Percutaneous recanalization of chronic total occlusions (CTOs) in peripheral arteries, especially TASC D classification including the distal aorta and both iliac arteries is still technically challenging. The conventional technique using standard guidewires and catheters guided by computed tomography and angiography can achieve a limited initial success, depending on lesion characteristics and operator's experience. A special imaging technique using 3-dimensional rotational angiography and spatio-temporal reconstruction with endoview for a better examination of the proximal stump, exact obstruction location, and distal stump direction in a stumpless lesion can be indispensable for successful intervention. We report a successful revascularization case of stumpless distal aorta and bi-iliac CTO guided by this specialized imaging technique.

Original languageEnglish
Pages (from-to)261-264
Number of pages4
JournalKorean Circulation Journal
Volume43
Issue number4
DOIs
Publication statusPublished - 2013 Apr

Keywords

  • Angiography
  • Aorta, abdominal
  • Imaging, three-dimensional
  • Occulusion
  • Percutaneous transluminal angioplasty

ASJC Scopus subject areas

  • Internal Medicine
  • Cardiology and Cardiovascular Medicine

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