Update on bi-directional wiring techniques to recanalize ...
Transcript of Update on bi-directional wiring techniques to recanalize ...
![Page 1: Update on bi-directional wiring techniques to recanalize ...](https://reader034.fdocuments.net/reader034/viewer/2022051406/627dbdbc08da031e6e6a67c9/html5/thumbnails/1.jpg)
LINC Expert Course
Pioneering Techniques for CLI and CTOs Part 1
Update on bi-directional wiring
techniques to recanalize
long SFA occlusion
Kazushi Urasawa, MD, PhD Tokeidai Memorial Hospital, Sapporo, Japan
Leipzig Interventional Course 2016 Cardiovascular Center, Tokeidai Memorial Hospital
![Page 2: Update on bi-directional wiring techniques to recanalize ...](https://reader034.fdocuments.net/reader034/viewer/2022051406/627dbdbc08da031e6e6a67c9/html5/thumbnails/2.jpg)
Disclosure Statement
Kazushi Urasawa, MD, PhD
Consulting for
Cordis, Cardinal Health
Boston Scientific Japan
Terumo
Asahi Intecc
Kaneka
Tokai Medical Products
Goodman
Future Medical Device
Medikit Japan
![Page 3: Update on bi-directional wiring techniques to recanalize ...](https://reader034.fdocuments.net/reader034/viewer/2022051406/627dbdbc08da031e6e6a67c9/html5/thumbnails/3.jpg)
Antegrade wiring for SFA-CTO
Unsuccessful
Bi-directional wiring Re-entry device
![Page 4: Update on bi-directional wiring techniques to recanalize ...](https://reader034.fdocuments.net/reader034/viewer/2022051406/627dbdbc08da031e6e6a67c9/html5/thumbnails/4.jpg)
Techniques for bi-directional wiring
Trans-collateral wiring
Frontal puncture of distal femoral artery
Side puncture of popliteal artery
Frontal outside popliteal puncture
Frontal inside popliteal puncture
Hi tibial puncture
Peroneal puncture
A puncture method to access popliteal artery (P2, P3)
Segment without changing patient’s position
![Page 5: Update on bi-directional wiring techniques to recanalize ...](https://reader034.fdocuments.net/reader034/viewer/2022051406/627dbdbc08da031e6e6a67c9/html5/thumbnails/5.jpg)
Head Foot
Knee
![Page 6: Update on bi-directional wiring techniques to recanalize ...](https://reader034.fdocuments.net/reader034/viewer/2022051406/627dbdbc08da031e6e6a67c9/html5/thumbnails/6.jpg)
![Page 7: Update on bi-directional wiring techniques to recanalize ...](https://reader034.fdocuments.net/reader034/viewer/2022051406/627dbdbc08da031e6e6a67c9/html5/thumbnails/7.jpg)
![Page 8: Update on bi-directional wiring techniques to recanalize ...](https://reader034.fdocuments.net/reader034/viewer/2022051406/627dbdbc08da031e6e6a67c9/html5/thumbnails/8.jpg)
Frontal popliteal puncture
![Page 9: Update on bi-directional wiring techniques to recanalize ...](https://reader034.fdocuments.net/reader034/viewer/2022051406/627dbdbc08da031e6e6a67c9/html5/thumbnails/9.jpg)
Frontal popliteal puncture : Cruise
![Page 10: Update on bi-directional wiring techniques to recanalize ...](https://reader034.fdocuments.net/reader034/viewer/2022051406/627dbdbc08da031e6e6a67c9/html5/thumbnails/10.jpg)
Frontal outside popliteal puncture (FOPP) &
Frontal inside popliteal puncture (FIPP)
Which puncture point should we use?
FOPP FIPP
It depends on the patient’s
leg position and shape.
![Page 11: Update on bi-directional wiring techniques to recanalize ...](https://reader034.fdocuments.net/reader034/viewer/2022051406/627dbdbc08da031e6e6a67c9/html5/thumbnails/11.jpg)
Straight Closed
Frontal Outside Popliteal Puncture
![Page 12: Update on bi-directional wiring techniques to recanalize ...](https://reader034.fdocuments.net/reader034/viewer/2022051406/627dbdbc08da031e6e6a67c9/html5/thumbnails/12.jpg)
Open
Frontal Inside Popliteal Puncture
![Page 13: Update on bi-directional wiring techniques to recanalize ...](https://reader034.fdocuments.net/reader034/viewer/2022051406/627dbdbc08da031e6e6a67c9/html5/thumbnails/13.jpg)
More options,
better initial outcome
![Page 14: Update on bi-directional wiring techniques to recanalize ...](https://reader034.fdocuments.net/reader034/viewer/2022051406/627dbdbc08da031e6e6a67c9/html5/thumbnails/14.jpg)
Fighting for Limb salvage