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Duplex-guided balloon angioplasty and stenting for femoropopliteal arterial occlusive disease: An alternative in patients with renal insufficiency  Enrico.

Published byKirsi-Kaisa Honkanen Modified over 5 years ago

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Presentation on theme: "Duplex-guided balloon angioplasty and stenting for femoropopliteal arterial occlusive disease: An alternative in patients with renal insufficiency  Enrico."— Presentation transcript:

1 Duplex-guided balloon angioplasty and stenting for femoropopliteal arterial occlusive disease: An alternative in patients with renal insufficiency  Enrico Ascher, MD, Natalie A. Marks, MD, RVT, Richard W. Schutzer, MD, Anil P. Hingorani, MD  Journal of Vascular Surgery  Volume 42, Issue 6, Pages (December 2005) DOI: /j.jvs Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

2 Fig 1 Power Doppler image of severe (81%) superficial femoral artery stenosis. The hemodynamic significance of this lesion was confirmed by a peak systolic velocity of 388 cm/s with marked spectral broadening. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

3 Fig 2 B-mode image of the inch guidewire coming out of the 6F short sheath and entering the diseased superficial femoral artery origin (arrow). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

4 Fig 3 B-mode image of a fully inflated 7-mm Ultrathin balloon (black arrows) positioned across the superficial femoral artery stenosis. Please note the thickness of the plaque (3.1 mm) pushed out by the balloon (white arrow). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

5 Fig 4 This power Doppler image depicts plaque recoil after balloon deflation; this created a 40% local diameter reduction (arrow). Doppler spectral analysis at this location demonstrated a peak systolic velocity of 124 cm/s with some spectral broadening. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

6 Fig 5 B-mode image of a Wallstent (8 mm in diameter × 40 mm long; Boston Scientific Corporation, Natick, Mass) placed under duplex guidance at the area of plaque recoil demonstrated in Fig 4. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

7 Fig 6 B-mode image of a 6-mm Ultrathin balloon (black arrows) fully inflated across the superficial femoral artery origin (white arrows). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

8 Fig 7 B-mode image of a inch guidewire in the large superficial femoral artery branch (arrow). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

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