Left Common Iliac Artery Lesion Treated by Stent Implantation

- Operator : Richard R. Heuser

Left Common Iliac Artery Lesion Treated by Stent Implantation
- Operator: Richard R. Heuser, MD
Case Presentation
A 48 year-old man was admitted for both claudication. His cardiovascular risk factors were hypertension, diabetes, hyperlipidemia, and smoking.
Baseline conventional angiography and CT angiography
The conventional angiography showed a total occlusion of left common iliac artery (Figure 1). CT angiography showed severe focal stenosis with eccentric calcification of left distal CIA. Segemental limb pressure with Doppler revealed decreased left ankle-brachial index (ABI 0.67) and pressure drop was noted at left iliofemoral segment.
Interventional Management
-Procedural Step
A 7Fr sized sheath was inserted into the right femoral artery. A tefron 0.032 inch wire, stiff 0.035 inch wire, and TSCMG 0.035 inch wire were used attempting to pass through the left common iliac artery lesion via antegrade approach. Finally, a V-18 0.18 inch wire was passed through the lesion (Figure 2). And then 7Fr Shuttle replaced femoral sheath and was inserted into left common iliac artery (Figure 3). Pre-ballooning with POWERFLEX 6.0 x 40 mm sized balloon upto 6.0 (4 atm) was performed at left common iliac artery. And then, stenting with two self expandable Complete SE ILIAC 7.0 x 40, 8.0 x40mm sized stents was performed (Figure 4). Post-deployment balloon dilatation with ULTRA THIN 8.0 x40 mm sized balloon upto 8.0 (10atm) was performed (Figure 5). Final angiogram showed well-positioned stent in left common iliac artery ( Movie 1).

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