Angiology: Open Access
Open Access
ISSN: 2329-9495
+44 1478 350008
ISSN: 2329-9495
+44 1478 350008
Department of Cardiology and Peripheral Artery Disease, Sapporo Heart Center, Asia Medical Group, Sapporo, Hokkaido, 007-0849, Japan
Case Report
Extra and Intravascular Ultrasound (E&IVUS) Guided Wiring for Femoropopliteal Arterial Occlusive Lesions
Author(s): Takuya Haraguchi*, Nozomi Sawada, Masanaga Tsujimoto, Yoshifumi Kashima, Katsuhiko Sato and Tsutomu Fujita
Background: Intravascular Ultrasound (IVUS) demonstrates the positions of intervention devices and vascular
structures on a cross-sectional short axis to support interventional procedures, especially for complex morphological
lesions. Extravascular Ultrasound (EVUS) visualizes vessel structures and devices on the long and short axes.
EVUS guided wiring reduces radiation exposure by avoiding fluoroscopy use. EVUS handling, which guides the
direction in which the guidewire should go on both the long and short axes, is more complicated, stressful, and timeconsuming
than IVUS. To solve this issue, we propose a new guidewire crossing method; extra and intravascular
ultrasound (E&IVUS) guided wiring, which uses both simultaneously.
Materials and methods: This is the first report on E&IVUS guided wiring for fem.. View More»
DOI:
10.35248/2329-9495.22.10.287