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Peripheral Guide Wires

Case Library

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

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

Initial Angios
Final Runoff

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