Author/Authors :
kubota, hiroshi nantan general hospital - department of cardiovascular medicine, Japan , nomura, tetsuya nantan general hospital - department of cardiovascular medicine, Japan , hori, yusuke nantan general hospital - department of cardiovascular medicine, Japan , yoshioka, kenichi nantan general hospital - department of cardiovascular medicine, Japan , miyawaki, daisuke nantan general hospital - department of cardiovascular medicine, Japan , urata, ryota nantan general hospital - department of cardiovascular medicine, Japan , sugimoto, takeshi nantan general hospital - department of cardiovascular medicine, Japan , kikai, masakazu nantan general hospital - department of cardiovascular medicine, Japan , keira, natsuya nantan general hospital - department of cardiovascular medicine, Japan , tatsumi, tetsuya nantan general hospital - department of cardiovascular medicine, Japan
Abstract :
Introduction: In practical settings of endovascular treatment,wesometimes encounter difficulties in treating lesions with massive thrombi, which may cause distal thromboembolism. Case Presentation: We encountered a case of severe critical limb ischemia involving in-stent iliac occlusion with massive thrombi. We had to overcome the critical issue of how to treat the massive thrombi in the iliac artery while avoiding thromboembolism. Therefore, we devised a very simple but possibly very useful protection system without any special devices based on the concept of the Optimo® balloon-tipped occlusion catheter. Conclusions: Although various endovascular treatment (EVT) devices and techniques have since been developed, little tips and tricks during EVT procedures are sometimes markedly useful.
Keywords :
Endovascular Treatment , Chronic Total Occlusion , Thrombus , Embolic Protection System , Balloon Occlusion
