Ratcliffe Justin, Gorenchtein Mike, Khullar Pankaj, Casso Dominguez Abel, Satish Mohan, Green Philip, Puma Joseph
Department of Cardiovascular Medicine, Mount Sinai St. Luke's Hospital, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Department of Medicine, Mount Sinai St. Luke's Hospital, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
CVIR Endovasc. 2019 Dec 13;2(1):42. doi: 10.1186/s42155-019-0089-6.
With the advent of endovascular techniques, alternate sites such as the pedal and radial arteries can now be accessed when treating peripheral arterial disease to reduce procedural complications, shorten recovery time, and improve patient comfort. However, a paucity of literature exists on the availability of support devices that can be utilized during challenging cases.
A 70 year-old female patient presented for evaluation of severe lifestyle-limiting left-sided claudication refractory to maximal medical therapy. Angiography revealed a chronic total occlusion of the left external iliac artery, which was treated successfully by percutaneous intervention via a primary transpedal approach and with the assistance of the Outback® Elite re-entry device. The patient was discharged 2 h after the procedure and reported significant symptom improvement at follow-up.
This case highlights a newly adopted endovascular approach through an alternate access site and illustrates how the Outback® Elite device can be used as an adjunctive tool in the treatment of complex lower-extremity vascular lesions.
随着血管内技术的出现，在治疗外周动脉疾病时，现在可以通过诸如足背动脉和桡动脉等替代部位进行穿刺，以减少手术并发症、缩短恢复时间并提高患者舒适度。然而，关于在具有挑战性的病例中可使用的支撑装置的文献却很匮乏。
一名70岁女性患者因严重的生活方式受限的左侧间歇性跛行前来评估，尽管接受了最大程度的药物治疗，但症状仍难以缓解。血管造影显示左髂外动脉慢性完全闭塞，通过经皮穿刺足背动脉入路并在Outback® Elite再入路装置的辅助下成功进行了介入治疗。术后2小时患者出院，随访时报告症状有明显改善。
本病例突出了一种新采用的通过替代入路部位的血管内治疗方法，并说明了Outback® Elite装置如何可作为治疗复杂下肢血管病变的辅助工具。
