Division of Cardiovascular Diseases, Mayo Clinic, Rochester, MN 55905, USA.
J Vasc Surg. 2011 Mar;53(3):808-10. doi: 10.1016/j.jvs.2010.09.027. Epub 2010 Nov 20.
We report a case of a thrombotic common iliac lesion with concern for elevated risk of downstream embolization during intervention. In this case, a transradial approach enabled the novel, simultaneous deployment of two embolic protection devices, one in the internal iliac artery and the other in the common femoral artery, for complete downstream protection during intervention. An endovascular stent, which accommodates a 0.035-inch wire lumen, was able to be delivered over both 0.014-inch protection device wires simultaneously and was successfully deployed with evidence of captured embolic material.
我们报告了一例髂总动脉血栓病变病例，该病例在介入治疗过程中存在下游栓塞风险增高的情况。在该病例中，经桡动脉入路成功实现了同时部署两个栓塞保护装置，一个置于髂内动脉，另一个置于股总动脉，从而在介入治疗过程中实现了完全下游保护。能够将一条可容纳 0.035 英寸导丝腔的血管内支架同时穿过两条 0.014 英寸的保护装置导丝，并成功释放，同时有捕获的栓塞物质的证据。
