[MO-37] Presentation Awards
the Trans Ankle Intervention(TAI) for SFA lesions
In the Endovascular Therapy (EVT) for superficial femoral artery (SFA) lesions, hemorrhagic complication is a critical problem in the femoral artery approach, requiring a resting bed for a long time after procedure.
Our aim was to evaluate the efficacy of a novel method to enable a minimally invasive approach, reduce hemorrhagic complication and postoperative resting time by using the dorsal artery approach called Trans Ankle Intervention (TAI).
As a method, we inserted 5Fr Glide Sheath Slender® into the dorsal artery under the echo guide and cross the wire in retrograde, then inserted 6Fr Guidezilla PV® Long into the SFA distal site and performed angiography. After that, we delivered balloon or stent to the SFA and we performed balloon expansion and stent deployment with 5Fr LIFE® stent system. The last hemostasis was done with the TR band® or STEPTY® tape. In this method, patient can walk after procedure soon.
We evaluated the results of procedure. We performed the TAI in 12 patients, the mean procedure time was 53 minutes, the mean perspective time was 12 minutes, and the mean contrast medium usage was 94 ml. The mean resting time after procedure was 179 minutes. All cases were able to walk without any problems after procedure. There was no case of postoperative bleeding complication.
In conclusion, TAI is useful and safety as a novel approach to SFA lesions in EVT.
Our aim was to evaluate the efficacy of a novel method to enable a minimally invasive approach, reduce hemorrhagic complication and postoperative resting time by using the dorsal artery approach called Trans Ankle Intervention (TAI).
As a method, we inserted 5Fr Glide Sheath Slender® into the dorsal artery under the echo guide and cross the wire in retrograde, then inserted 6Fr Guidezilla PV® Long into the SFA distal site and performed angiography. After that, we delivered balloon or stent to the SFA and we performed balloon expansion and stent deployment with 5Fr LIFE® stent system. The last hemostasis was done with the TR band® or STEPTY® tape. In this method, patient can walk after procedure soon.
We evaluated the results of procedure. We performed the TAI in 12 patients, the mean procedure time was 53 minutes, the mean perspective time was 12 minutes, and the mean contrast medium usage was 94 ml. The mean resting time after procedure was 179 minutes. All cases were able to walk without any problems after procedure. There was no case of postoperative bleeding complication.
In conclusion, TAI is useful and safety as a novel approach to SFA lesions in EVT.