Pre-arteriotomy guidewire access (PAGA): a crucial maneuver for securing inflow and/or outflow in patients with bulky iliofemoral occlusive disease undergoing combined (open/endovascular) procedures.
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Abstract
To present our technique of pre-arteriotomy guidewire access (PAGA). Placement of a guidewire across inflow lesions before performing the arteriotomy during combined endovascular/open procedures while treating patients with complex iliofemoral occlusive disease is a crucial maneouvre. We routinely utilize this approach in patients in whom endarterectomy and/or patch angioplasty is planned as the central part of the revascularization procedure, or when we find an unsuspected severely diseased EIA in a patient undergoing leg revascularization.
Medical subject headings
- Angioplasty
- Arterial Occlusive Diseases
- Endarterectomy
- Ischemia
- Leg