“Catheter Kissing” Technique to Recanalize Chronic Total Occlusions in Iliac Artery with Wire-Catheter Approach

Zeng, Wei; Zhang, Ya; Liu, Yang; Wang, Qiqi; Zhang, Lifeng; He, Chunshui

doi:10.1016/j.avsg.2023.09.082

Annals of Vascular Surgery

2023

DOI: 10.1016/j.avsg.2023.09.082

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“Catheter Kissing” Technique to Recanalize Chronic Total Occlusions in Iliac Artery with Wire-Catheter Approach

Wei Zeng,

Ya Zhang,

Yang Liu

et al.

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2024

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“Wire kissing technique” and “externalization and pull-through technique” for treating chronic total occlusion in hemodialysis vascular access: A case report

Inoue,

Matsuo,

Tamaki

et al. 2024

J Vasc Access

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The construction and utilization of dependable vascular access are essential for hemodialysis. Despite its importance, complications with vascular access are common, significantly impacting patient morbidity and mortality. This report presents a novel approach to treating chronic total occlusion (CTO) in hemodialysis vascular access using the “wire kissing technique” an “externalization and pull-through technique.” An 82-year-old woman on hemodialysis had a thrombotic obstruction in her cephalic vein, which conventional methods failed to address. The wire kissing technique allowed the meeting of antegrade and retrograde wires within the CTO lesion, stabilizing the wire and facilitating balloon passage. The externalization and pull-through technique further enabled the balloon to cross the rigid CTO lesion, successfully completing percutaneous transluminal angioplasty (PTA). Post-procedure ultrasonography showed significant improvements in flow volume and resistance index. These techniques, commonly used in coronary and femoral arteries, have not been previously reported for dialysis vascular access. This case highlights a novel and effective solution for overcoming technical difficulties in crossing CTO lesions, potentially improving outcomes in vascular access for hemodialysis patients.

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“Wire kissing technique” and “externalization and pull-through technique” for treating chronic total occlusion in hemodialysis vascular access: A case report

Inoue,

Matsuo,

Tamaki

et al. 2024

J Vasc Access

View full text Add to dashboard Cite

show abstract

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“Catheter Kissing” Technique to Recanalize Chronic Total Occlusions in Iliac Artery with Wire-Catheter Approach

Cited by 1 publication

References 22 publications

“Wire kissing technique” and “externalization and pull-through technique” for treating chronic total occlusion in hemodialysis vascular access: A case report

“Wire kissing technique” and “externalization and pull-through technique” for treating chronic total occlusion in hemodialysis vascular access: A case report

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