CC BY-NC-ND 4.0 · The Arab Journal of Interventional Radiology 2018; 02(03): S24
DOI: 10.1055/s-0041-1730710
Abstract

Use of the Transbrachial Approach with Regular Radial Sheath as an Alternative Method in the Management of Aortoiliac Occlusive Arterial Diseases

Sohiel Mohamed Ayman
Ain Shams university, Cairo, Alexandria, Egypt
,
Mohamed Fakhry
El Amria General Hospital, Alexandria, Egypt
,
Mohamed Nagib
Military Academy, Alexandria, Egypt
› Author Affiliations

Background: The best way to manage peripheral artery disease remains an unresolved issue. In recent years, endovascular therapy (EVT) has made remarkable advances, resulting in better outcomes in a variety of settings. Aortoiliac bifurcation lesions present various difficulties in treatment, and the therapeutic method remains controversial. In addition, while some reports have examined EVT outcomes in aortoiliac bifurcation lesions, there are few analyzing the influence of lesion morphology and stent configuration. Methods: Seven patients admitted to Shaq Almandine and El Amria hospitals; during the period July 1, 2016–April 30, 2017 with chronic bilateral lower limb ischemia (aortoiliac occlusive disease). After clinical evaluation, Doppler and CT angiogram transbrachial approach had been chosen using regular radial sheath. Follow-up after 1 day, 1 week, and 3 months Results: Five male patients and 2 females, with a mean age of 62.2 years underwent left transbrachial approach using 6 Fr. radial sheath. Follow-up revealed patent stents in all patients after 3-month period using Duplex study Conclusion: Radial sheath is a safe, unique, and cheap method for transbrachial approach, more friendly for arch manipulation and does not affect the pushability during the procedure



Publication History

Article published online:
11 May 2021

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