TY -的A2 Iyisoy Atila盟——Nakabayashi圭佑AU -哈塔,山中盟——金子,Nobuhito盟,松井Akihiro盟,田中Kazuhiko盟——安藤Hiroshi AU -清水,Minoru PY - 2019 DA - 2019/04/16 TI -结合使用准分子激光和高速旋转Atherectomy克服严重钙化病变血管内治疗SP - 1719035六世- 2019 AB -尽管血管内治疗(EVT)常用于治疗外周动脉疾病(PAD)、严重钙化病变构成挑战,尽管技术进步。在这份报告中,我们将讨论一个74岁的男性与冠状动脉疾病的终末期肾脏疾病谁在我们的机构和双边间歇性跛行。血管摄影显示慢性完全闭塞(首席技术官)的右股浅动脉(SFA)。因为两国外部髂动脉中度狭窄,我们进行血管内治疗右边SFA-CTO使用侧的方法。广泛性、线发展到subintimal空间,直接执行distal-SFA穿刺和钢丝外化。但是,没有设备(最小的气球、microcatheter或垫木系统)能够通过在广泛性病变或逆行的方式,即使孩子导管支持或针破解技术从外部/内部应用。因此,我们使用一个准分子激光和高速旋转atherectomy克服严重钙化病变。首先,准分子激光导管(涡轮精英0.9毫米)熔化的CTO的条目;然而,它没有完全通过。此后,薄microcatheter(轻快帆船)成功地穿越了首席技术官以广泛性的方式使用气球部署使用强制的方式(BADFORM)技术。 After wire-exchange to the Rota-wire, rotational atherectomy (RotaLink Plus 1.5 mm) passed through the CTO. Subsequently, we could dilate the CTO lesion with a conventional balloon followed by bare metal stent deployment. The right ankle-brachial index of the patient improved from being unmeasurable to 0.79, and the intermittent claudication disappeared. This combination therapy, described as the “RASER” technique in coronary section, is accepted for reimbursement. However, these devices in EVT section are considered off-label use in Japan. Therefore, we have to refrain from frequent use of this strategy; however, this method provides an option for severely calcified lesions. SN - 2090-6986 UR - https://doi.org/10.1155/2019/1719035 DO - 10.1155/2019/1719035 JF - Case Reports in Vascular Medicine PB - Hindawi KW - ER -