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首页> 外文期刊>Vascular and endovascular surgery >Feasibility and Safety of Reverse Catheterization Technique of the Superficial Femoral Artery in Single-Stage Endovascular Treatment of Bilateral Infrainguinal Diseases
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Feasibility and Safety of Reverse Catheterization Technique of the Superficial Femoral Artery in Single-Stage Endovascular Treatment of Bilateral Infrainguinal Diseases

机译：双层腹血管治疗双侧肾上腺动脉逆脉逆向导管型技术的可行性和安全性

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Purpose: We evaluated the feasibility and safety of the reverse catheterization technique of the superficial femoral artery (ReCAT) for single-stage endovascular treatment (EVT) in patients with bilateral infrainguinal diseases. Materials and Methods: We retrospectively evaluated 24 consecutive patients (overall median age: 79 years; male patients: 21 [87.5%]) who underwent EVT for bilateral infrainguinal diseases. The objective of ReCAT was to perform single-stage EVT in patients with bilateral infrainguinal diseases with a one-time unilateral femoral artery puncture. The main outcomes were the incidence of puncture site complications, including major bleeding or hematoma requiring transfusion, pseudoaneurysm, and arteriovenous fistula, and ReCAT procedure-related arterial dissection or perforation, which were assessed by ultrasonography on the day after the procedure. The secondary outcome measures were in-hospital mortality and in-hospital amputation. Results: Reverse catheterization technique of the superficial femoral artery was successful in 23 (95.8%) of the 24 patients; it failed in 1 patient due to severe calcification and a previously implanted stent in the ipsilateral iliac artery. The median operation time, radiation time, and the volume of contrast media used were 108 (84-142) minutes, 37 (27-55) minutes, and 111 (80-157) mL, respectively. There were no incidences of puncture site complications and arterial dissection related to the ReCAT procedure. One case of vessel perforation in a branch of the ipsilateral superficial femoral artery occurred due to flipped guidewire injury. Conclusion: Reverse catheterization technique of the superficial femoral artery is safe and effective in performing single-stage EVT for bilateral infrainguinal diseases. It might also reduce the number of EVTs and complications due to multiple femoral artery punctures.
机译：目的：我们评估了双侧血管内疾病患者的浅表股骨动脉（RECAT）逆脉导管（RECAT）的可行性和安全性。材料和方法：我们回顾性评估了24例患者（总中位年龄：79岁;男性患者：21 [87.5％]）培养了双边前瞻性疾病的EVT。 RECAT的目的是在双侧初学疾病患者中进行单阶段EVT，一次性单侧股动脉穿刺。主要结果是穿刺部位并发症的发生率，包括需要输血，假瘤肌瘤和动静脉瘘的主要出血或血肿，以及recat程序相关的动脉夹层或穿孔，其在程序后一天通过超声检查评估。二次结果措施患上医院死亡率和医院截肢。结果：24例患者的23例（95.8％）成功的浅导管插座技术成功;由于严重的钙化和先前植入的Ipsilidal髂动脉，它失败了1名患者。所使用的中值操作时间，辐射时间和使用的造影剂的体积分别为108（84-142）分钟，37（27-55）分钟和111（80-157）ml。没有与审计程序程序相关的穿刺部位并发症和动脉解剖的发生率。由于翻转的导丝损伤，发生了同侧表面股动脉的分支中的一种血管穿孔。结论：表面股动脉的逆导管插管技术在对双侧初学疾病进行单阶段EVT安全有效。由于多种股动脉穿刺，它也可能减少eVTS和并发症的数量。

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