PDF(Pubmed)
Abstract：
Endovascular treatment is an acceptable option for patients with aortoiliac occlusive disease. However, bilateral passage of guidewires through the aortoiliac occlusion can be a challenging step in achieving successful revascularization. The aim of this article is to present a novel strategy for successfully passing bilateral guidewires through long aortoiliac occlusive lesions. After one guidewire is passed through the aortic and iliac lesions via one side of the femoral artery, the other guidewire is passed using the up-and-over technique and pulled out from the ipsilateral side of the body. This contralateral guidewire is then inserted into the ipsilateral angiographic catheter along with the ipsilateral guidewire. Subsequently, the angiographic catheter is removed in a manner similar to a peel-away sheath. Eventually, bilateral guidewires can be passed through the lesion via a single aortic tract.
摘要：
对于主动脉闭塞性疾病患者，血管内治疗是可接受的选择。然而,双侧导丝通过主髂动脉闭塞可能是成功实现血运重建的一个具有挑战性的步骤.本文的目的是提出一种新的策略，使双侧导丝成功穿过长的主动脉闭塞性病变。一根导丝经股动脉一侧穿过主动脉和髂动脉病变后，另一个导丝使用上下技术通过并从身体的同侧拉出。然后将该对侧导丝与同侧导丝一起插入到同侧血管造影导管中。随后，以类似于剥离鞘的方式移除血管造影导管。最终,双侧导丝可以通过单个主动脉束穿过病变。
