|
The right external iliac artery was occluded, and a wire would not pass.
The md was planning to put a stent into that artery.
Because the wire would not pass, per the op note, "this necessitated the use of a pioneer reentry device with an 0.
014 wire and chromaflo guided intravascular ultrasound with a reinjury system and gaining access into the common iliac artery and ultimately into the level of the aorta.
" the second surgeon in the case described it like this: "we attempted to cross the lesion within the true lumen; however, the plaque was significant within the external iliac artery.
We used a pioneer reentry device with a 0.
014 wire and chromaflo to orient the reentry device towards the arterial aspect.
This was reentered just distal to the hypogastric artery.
We were able to place a 0.
014 wire up to the level of the aorta.
" during a stenting procedure to the right external iliac artery of a patient with profound atherosclerotic disease with bilateral lower extremity disabling claudication secondary to severe aortoiliac and bilateral iliofemoral atherosclerotic disease, a guide wire became lodged, in the pioneer plus dual-guidewire catheter (wire got stuck in the pioneer plus catheter)and broke.
Both the wire and pioneer plus dual-guidewire catheter had to be removed from the patient and a new device and wire were opened to complete the procedure.
Patient recovered without any issues.
A representative from volcano (manufacturer) now has possession of the device.
|
