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Crossover approach with a J-shaped sheath for angioplasty of Iliofemoral artery stenoses and occlusions

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Abstract

Thirty patients with atherosclerotic stenoses or occlusions of iliofemoral arteries were treated from the contralateral approach using a newly designed J-shaped sheath. Seven patients with stenoses and one with an occlusion were successfully dilated with balloon angioplasty. Twenty-two patients with occlusions were treated with urokinase infusion, 16 of whom received coaxial infusion with the J-shaped sheath and catheter. Complete thrombolysis was achieved in 18 patients. The treatment success rate was 100% in the stenotic group and 83% in the occlusion group. Initially, Jshaped sheaths were useful for treatment of iliofemoral artery lesions from the contralateral femoral artery

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Kichikawa, K., Uchida, H., Nishimine, K. et al. Crossover approach with a J-shaped sheath for angioplasty of Iliofemoral artery stenoses and occlusions. Cardiovasc Intervent Radiol 18, 125–128 (1995). https://doi.org/10.1007/BF02807238

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