PTA for Iliac Artery Stenosis via the Brachial Artery: A case report Norihiko Shinozaki 1 , Hiroyuki Ichinose 1 , Kumiko Yahikozawa 1 , Hirohide Shimada 1 , Kazuo Hoshino 1 1Department of Cardiology, Naganoken Koseiren Shinonoi General Hospital Keyword: 閉塞性動脈硬化症 , 腸骨動脈 , 上腕動脈アプローチ , 経皮的血管形成術 , arteriosclerosis obliterans , iliac artery , brachial artery approach , percutaneous transluminal angioplasty pp.91-94
Published Date 2008/1/15
DOI https://doi.org/10.11477/mf.1404100966
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 A 73-year-old-man with right intermittent claudication had low ABI. An angiogram revealed 90% stenosis of his right external iliac artery and tortuousness of the bi-lateral iliac arteries. The stenotic lesion was indicated for treatment by percutaneous transluminal angioplasty(PTA). Because of the tortuousness and his severe lumbago, we performed PTA via the right brachial artery. We inserted a 100cm-long sheath from the right brachial artery to the abdominal aorta. After we performed pre-dilatation, we succeeded in implanting a self-expandable stent and carried out post-dilatation. The patients symptoms disappeared after this procedure. PTA for the iliac artery via the brachial artery approach is very useful if the femoral artery approach is difficult.

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