Complex BTK Cases
Case 1: Wire Crossing Strategies for Complex Infrapopliteal Lesions
Presented by Dr. Lieven Maene (Belgium)
Panel discussion with Dr. Ehrin Armstrong (USA) and Dr. Brian DeRubertis (USA)
Case Background: Patient with extensive ulcer at the heel for 3 months / Good fem-pop inflow / Occlusion of posterior tibial artery
Treatment Strategy: Target Revascularization of posterior tibial artery / Balloon angioplasty of target vessel
Guide Wire Techniques
- Subintimal loop progression to gain the distal plantar arch
- Retrograde recanalization of plantar arch
- Retrograde advancement in posterior tibial artery
Guide Wires used
- Access : 5 Fr, 45 cm sheath, Terumo Radifocus Glidewire Guide Wire, Berenstain 4FR Catheter
- Abbott Hi-Torque Command Guide Wire
- Abbott Hi-Torque Command ES Guide Wire
- Abbott Armada 14 Balloon Dilatation Catheter
- Abbott Armada 14 XT Balloon Dilatation Catheter
Case 2: Wire Crossing Strategies for Complex Infrapopliteal Lesions
Presented by Dr. Ehrin Armstrong (USA)
Panel discussion with Dr. Brian DeRubertis (USA) and Dr. Lieven Maene (Belgium)
Case Background: 72M with PMH including CAD s/p PCI to LAD, RCA, longstanding diabetes, prior history of LV apical thrombus, on warfarin / No prior history of claudication / Presented with non-healing wound of left heel, persisted x 2 months / L ABI 0.42, L toe pressure 43 mm Hg
Treatment Strategy: Revascularization of posterior tibial artery via antegrade-retrograde approach
Techniques
- Wire escalation in antegrade approach
- Retrograde access of posterior tibial
- Balloon angioplasty of target vessel
Guide Wires used
- Abbott Hi-Torque Command 18 Guide Wire
- Abbott Hi-Torque Pilot 200 Guide Wire
- Asahi Fielder XT Guide Wire
- Asahi Confianza Pro 12 Guide Wire
Initial angios
Final Runoff
MAT-2101336 v2.0