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Cardiovasc Interv Ther. 2014 Apr;29(2):162-6. doi: 10.1007/s12928-013-0205-9. Epub 2013 Aug 24.

Successful penetration and bougie dilatation with Brockenbrough needle for severely calcified occlusion in superficial femoral artery.

Author information

1
Department of Cardiology, Sendai Kousei Hospital, 4-15 Hirose-machi, Aoba-Ku, Sendai, Miyagi, Japan, makitoshi0327@yahoo.co.jp.

Abstract

A 75-year-old hemodialysis patient with right critical limb ischemia received endovascular therapy for a chronic total occlusion (CTO) in a diffusely calcified superficial femoral artery (SFA). During a retrograde approach, a Brockenbrough needle (BN) was able to penetrate the calcified hard plaque formed in the middle segment of the CTO. Moreover, bougie dilatation with the BN allowed balloon crossing and stent deployment, even after failure to pass a 2.0-mm monorail balloon across the plaque. These results suggest that the BN offers a new therapeutic option in the penetration and modification of severely calcified CTO in SFA.

PMID:
23979907
DOI:
10.1007/s12928-013-0205-9
[Indexed for MEDLINE]

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