Otaka Naoya, Kawamiya Toshiki, Ohno Jun
Department of Cardiology, Matsuyama Red Cross Hospital, Ehime, Japan.
Department of Cardiology, Tsushima City Hospital, Aichi, Japan.
J Vasc Surg Cases Innov Tech. 2022 Jul 19;8(3):484-487. doi: 10.1016/j.jvscit.2022.06.019. eCollection 2022 Sep.
Stenting is used to achieve artery patency, and the Supera stent, a self-expanding interwoven nitinol stent, has produced good clinical outcomes. A 70-year-old woman with peripheral artery disease had experienced intermittent claudication (Fontaine stage IIb). Endovascular treatment was performed for a chronic total occlusion TransAtlantic InterSociety Consensus class II type B lesion. A Supera stent (Abbott Vascular, Santa Clara, CA) was used. However, it had become severely elongated to the proximal end in the superficial femoral artery and was removed using a balloon inserted from the side and trapped to the guide sheath with the distal end of the stent outside the sheath. After this bailout, an alternate stent could be placed through an antegrade approach to the contralateral common femoral artery.
支架置入术用于实现动脉通畅，而Supera支架是一种自膨胀编织镍钛诺支架，已取得良好的临床效果。一名患有外周动脉疾病的70岁女性曾经历间歇性跛行（Fontaine IIb期）。对一例慢性完全闭塞的跨大西洋协作组（TransAtlantic InterSociety Consensus）II B型病变进行了血管内治疗。使用了一枚Supera支架（雅培血管，加利福尼亚州圣克拉拉）。然而，它在股浅动脉近端严重拉长，通过从侧面插入球囊将其取出，并将支架远端留在鞘外，使支架被困在导鞘上。在这次补救措施后，可以通过顺行途径将另一枚支架置入对侧股总动脉。
