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Erschienen in: CardioVascular and Interventional Radiology 2/2018

30.08.2017 | Technical Note

Longitudinal Cracking with a Guidewire Tail for Extremely Calcified Lesions in Infrainguinal Arteries: PICKING Technique

verfasst von: Osami Kawarada, Teruo Noguchi, Satoshi Yasuda

Erschienen in: CardioVascular and Interventional Radiology | Ausgabe 2/2018

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Abstract

Purpose

To report a percutaneous intravascular cracking with a guidewire tail (PICKING) technique to longitudinally crack the underlying calcification and facilitate the balloon catheter passage for the treatment of severely calcified chronic occlusions in the infrainguinal artery.

Materials and Methods

Three patients underwent PICKING technique between November 2014 and March 2017. The PICKING technique with the stiff tail of 0.018-inch guidewire in the straight configuration was considered in cases of failed passage of the smallest balloon catheter because of the underlying severely calcified occlusion following passage of 0.014-inch guidewire.

Results

All three patients were complicated by end-stage renal disease on hemodialysis. Treated vessels were superficial femoral artery in two cases and anterior tibial artery in one case. In all cases, successful passage and dilatation of the balloon catheter were achieved, and significant improvements in clinical symptoms were observed following subsequent optimal balloon angioplasty or stenting.

Conclusions

The PICKING technique could increase the potential of endovascular solution for the treatment of severely calcified chronic occlusions in the infrainguinal artery.
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Metadaten
Titel
Longitudinal Cracking with a Guidewire Tail for Extremely Calcified Lesions in Infrainguinal Arteries: PICKING Technique
verfasst von
Osami Kawarada
Teruo Noguchi
Satoshi Yasuda
Publikationsdatum
30.08.2017
Verlag
Springer US
Erschienen in
CardioVascular and Interventional Radiology / Ausgabe 2/2018
Print ISSN: 0174-1551
Elektronische ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-017-1780-4

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