{Reference Type}: Journal Article
{Title}: Introduction of novel intravascular ultrasound preceding with angled guiding catheter (I-PAD) technique to treat chronic total occlusions in peripheral artery disease.
{Author}: Sobajima M;Imamura T;Ueno Y;Onoda H;Ushijima R;Ueno H;Kinugawa K;
{Journal}: CVIR Endovasc
{Volume}: 7
{Issue}: 1
{Year}: 2024 Jul 11
暂无{DOI}: 10.1186/s42155-024-00469-z
{Abstract}: <B>BACKGROUND: </B>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.<BR><B>METHODS: </B>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.<BR><B>CONCLUSIONS: </B>The I-PAD might be an effective technique to accurately, quickly, and safely pass through CTO lesions.