Ysa August, Lobato Marta, Ortiz de Salazar Leire, Bonmati Gonzalo, Arroniz Amaia, Metcalfe Matthew, Fonseca Juan L
Vascular Surgery Dpt. Hospital de Cruces, Barakaldo, Spain.
Vascular Surgery Dpt. Hospital de Cruces, Barakaldo, Spain.
Ann Vasc Surg. 2019 Jul;58:384.e15-384.e18. doi: 10.1016/j.avsg.2018.11.013. Epub 2019 Feb 11.
A case of a femoropopliteal recanalization procedure using a new bailout technical maneuver to aid reentry into the true lumen is described. After a failed standard reentry attempt, at the level of the vessel reconstitution in the subintimal space, the guidewire was exchanged for a GooseNeck Snare Kit. A needle was inserted across the target artery, piercing both arterial walls and passing through the snare loop. Once the needle had exited the artery, a wire was inserted and the needle withdrawn. The snare was closed, withdrawn, and the wire externalized through the femoral access. Finally, a catheter was advanced from the antegrade sheath up to the arterial reconstitution. Selective injection at the site of reentry confirmed the intraluminal position, and the procedure was successfully completed from the antegrade sheath.
描述了一例使用新的补救技术操作辅助重新进入真腔的股腘动脉再通手术。在标准的重新进入尝试失败后，在血管内膜下空间的血管重建水平，将导丝换成鹅颈圈套器套件。将一根针穿过目标动脉，刺穿动脉壁两侧并穿过圈套环。一旦针穿出动脉，插入一根导丝并拔出针。关闭圈套器，将其撤回，导丝通过股动脉入路引出体外。最后，将导管从顺行鞘推进至动脉重建处。在重新进入部位进行选择性注射，确认位于腔内位置，手术通过顺行鞘成功完成。
