Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/S1677-54492012000300010
Jornal Vascular Brasileiro
Case Report

Avanços nos materiais e no tratamento endovascular de oclusões arteriais crônicas totais: um relato de caso

Advances in materials and endovascular treatment of chronic total arterial occlusions: a case report

Daniel Queiroz Neves; Jorge Ribeiro da Cunha Junior; Márcio Cerbazzi Tavares Cardoso; Mauro Henrique de Lima; Gustavo Petorossi Solano; Celso Luis Muhlethaler Chouin; Sérgio Lopes de Azevedo; Paulo Eduardo Ocke Reis

Downloads: 0
Views: 827

Resumo

As oclusões arteriais crônicas totais com forte componente cálcico são ainda nos dias atuais, um fator muitas vezes limitante para o tratamento endovascular devido à dificuldade em transpor estas lesões com fios-guia e cateteres habitualmente utilizados. Revisamos a literatura e descrevemos um caso de tratamento endovascular de uma oclusão total de artéria ilíaca externa, onde o uso de novos materiais desenvolvidos especificamente para o tratamento deste tipo de lesão foi determinante para o sucesso do caso.

Palavras-chave

arteriopatias oclusivas, arteriosclerose obliterante, claudicação intermitente

Abstract

Chronic arterial occlusions with great calcium component are usually a factor of limitation to endovascular treatment to the difficulty to transpose these lesions with guidewires and catheters commonly used. We reviewed the literature and described a case of endovascular treatment of a total occlusion of external iliac artery, where the use of new materials developed specifically to the treatment of such injuries was critical to the success of the case.

Keywords

arterial occlusive diseases, arteriosclerosis obliterans, intermittent claudication

References

Gabriel SA, Serafim PH, Freitas CEM. Doença arterial obstrutiva periférica e índice tornozelo-braço em pacientes submetidos à angiografia coronariana. Rev Bras. Cir Cardiovasc. 2007;22(1):49-59.

Nadal LL, Cynamon J, Lipsitz EC. Subintimal angioplasty for chronic arterial occlusions. Tech Vasc Interv Radiol. 2004;7(1):16-22.

Norgren L, Hiatt WR, Dormandy JA. Inter-Society Consensus for the Management of Peripheral Arterial Disease (TASC II). Eur J Vasc Endovasc Surg. 2007;33(^s1):S1-75.

Maffei FHA. Doenças vasculares periféricas. 2002;1 e 2.

Rutherford RB, Baker JD, Ernst C. Recommended standards for reports dealing with lower extremity ischemia: revised version. J. Vasc. Surg. 1997;26(3):517-38.

Capek P, McLean GK, Berkowitz HD. Femoropopliteal angioplasty: factors influencing long-term success. Circulation. 1991;83(2):7080.

Morgenstern BR, Getrajdman GI, Laffey KJ, Bixon R, Martin EC. Total occlusions of the femoropopliteal artery: high technical success rate of conventional balloon angioplasty. Radiology. 1989;172(3):937-40.

Melzi G, Cosgrave J, Biondi-Zoccai GL. A novel approach to chronic total occlusions: the crosser system. Catheter Cardiovasc Interv. 2006;68(1):29-35.

Grube E, Sütsch G, Lim VY. High-frequency mechanical vibration to recanalize chronic total occlusions after failure to cross with conventional guidewires. J Invasive Cardiol. 2006;18(3):85-91.

Murarka S, Heuser R. Chronic total occlusions in peripheral vasculature: techniques and devices. Exp Rev Cardiovasc Ther. 2009;7(10):1283-95.

Joye JD, Serry R, St. Goar FG, Zetterlund P. Clinical success in 100 consecutive endovascular occlusion cases using re-entry catheters for failed sub-intimal approach. J Am Coll Cardiol. 2006;47(^s2).

Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)"> Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)">
5ddd2f0c0e88253e6b1da3e9 jvb Articles
Links & Downloads

J Vasc Bras

Share this page
Page Sections