Korean Circ J.  2008 Dec;38(12):671-673. 10.4070/kcj.2008.38.12.671.

A Case of Peripheral Revascularization Via the Radial Artery Using Devices Designed for Percutaneous Coronary Intervention

• Lee SH
• Park HS
• Jang SY
• Kim JH
• Park SH
• Ryu HM
• Jang GL

• KMID: 2225701
• DOI: http://doi.org/10.4070/kcj.2008.38.12.671

Abstract

This report describes the case of a 68-year-old man who presented with claudication and discoloration of his right lower extremity. He was a 35 pack-year smoker and had diabetes mellitus. The right common iliac artery was shown to be significantly obstructed on an angiogram. One self-expandable stent was deployed at the lesion. Three months later, however, he visited our hospital again due to recurrent claudication. An angiogram revealed in-stent reocclusion of the right common iliac artery. We used a transradial approach and penetrated the lesion with a percutaneous coronary intervention (PCI) guidewire, and dilated the lesion with a PCI balloon. The outcome was favorable.

Keyword

Occlusion; Stents; Radial artery; Percutaneous transluminal coronary angioplasty

MeSH Terms

Aged
Angioplasty, Balloon, Coronary
Diabetes Mellitus
Humans
Iliac Artery
Lower Extremity
Percutaneous Coronary Intervention
Radial Artery
Stents

Figure

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  Fig. 1 In-stent restenosis in the right common iliac artery.

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  Fig. 2 Conquest™ wire (Asahi Intecc®) passed the reoccluded lesion with a straight tip catheter via the right radial artery.

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  Fig. 3 Anterograde blood flow achieved with a 3.5 × 20 mm PCI balloon. PCI: percutaneous coronary intervention.

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  Fig. 4 Peripheral Cutting™ balloon (Boston Scientific®) via the right femoral artery.

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