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CASE REPORT
Year : 2017  |  Volume : 6  |  Issue : 3  |  Page : 9

Successful endovascular treatment for thrombotic in-stent iliac occlusion with in-house-devised optimo®-Like embolic protection system


Department of Cardiovascular Medicine, Nantan General Hospital, Nantan City, Kyoto 629-0197, Japan

Correspondence Address:
Tetsuya Nomura
Department of Cardiovascular Medicine, Nantan General Hospital 25, Yagi-Ueno, Yagi-cho, Nantan City, Kyoto 629-0197
Japan
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Source of Support: None, Conflict of Interest: None


DOI: 10.5812/cardiovascmed.41325

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Introduction: In practical settings of endovascular treatment,wesometimes encounter difficulties in treating lesions with massive thrombi, which may cause distal thromboembolism. Case Presentation: We encountered a case of severe critical limb ischemia involving in-stent iliac occlusion with massive thrombi. We had to overcome the critical issue of how to treat the massive thrombi in the iliac artery while avoiding thromboembolism. Therefore, we devised a very simple but possibly very useful protection system without any special devices based on the concept of the Optimo® balloon-tipped occlusion catheter. Conclusions: Although various endovascular treatment (EVT) devices and techniques have since been developed, little tips and tricks during EVT procedures are sometimes markedly useful.


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