Intravascular Ultrasound–Guided Creation of Re-Entry Sites to Improve Intermittent Claudication in Patients With Aortic Dissection

2006 ◽  
Vol 13 (3) ◽  
pp. 424-428 ◽  
Author(s):  
Marc J. Husmann ◽  
Ralf Kickuth ◽  
Karin Ludwig ◽  
Jürg Schmidli ◽  
Iris Baumgartner ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Intermittent Claudication ◽  
Intravascular Ultrasound ◽  
Ultrasound Guided

Intravascular ultrasound-guided rotational atherectomy for heavily calcified renal artery stenosis

2012 ◽  
Vol 13 (5) ◽  
pp. 338-342
Author(s):  
Giacomo G. Boccuzzi ◽  
Luca Di Maggio ◽  
Carlo Massara ◽  
Roberto Garbo ◽  
Daniele Savio
Keyword(s):  
Renal Artery ◽  
Renal Artery Stenosis ◽  
Intravascular Ultrasound ◽  
Artery Stenosis ◽  
Rotational Atherectomy ◽  
Ultrasound Guided

Epiaortic Ultrasound-Guided True Lumen Cannulation of Ascending Aorta in Acute Aortic Dissection Type A

2021 ◽  
Vol 104 (4) ◽  
pp. 604-609
Keyword(s):  
Aortic Dissection ◽  
Acute Aortic Dissection ◽  
Axillary Artery ◽  
Type A ◽  
Ascending Aorta ◽  
Ultrasound Guided ◽  
True Lumen ◽  
Artery Cannulation ◽  
Aortic Cannulation ◽  
Aortic Dissection Type A

Background: The choice of arterial inflow for acute Stanford type A aortic dissection repair remains controversial. The axillary artery should be considered as first choice for cannulation, but this technique is time-consuming. The ascending aortic cannulation provides antegrade perfusion and can be performed rapidly but there are several concerns such as aortic rupture, extension of dissection, and false lumen cannulation. Objective: To compare the establishment time of cardiopulmonary bypass (CPB) and postoperative outcomes of the two cannulation techniques that provide antegrade perfusion, which was direct true lumen cannulation on the dissected ascending aorta using epiaortic ultrasound-guided and axillary artery cannulation in Siriraj Hospital. Materials and Methods: The authors retrospectively reviewed all the 30 cases of acute aortic dissection type A using two different cannulation methods performed between February 2011 and May 2017. Direct true lumen ascending aortic cannulation was performed using the epiaortic ultrasound-guide with Seldinger technique in 12 patients, and axillary artery cannulation was performed in 18 patients. Results: The direct true lumen ascending aortic cannulation was safely performed in all patients. None of them had aortic rupture. Skin incision to CPB time was significantly faster in the epiaortic ultrasound-guided ascending aortic cannulation group at 29±8 versus 49±14 minutes (p<0.001). The 30-day mortality and postoperative adverse events, such as ischemic stroke, acute kidney injury, visceral organ and limb malperfusion showed no statistically significant difference from the axillary artery cannulation method. Conclusion: Epiaortic ultrasound-guided true lumen cannulation of ascending aorta in the treatment of acute aortic dissection type A is safe and feasible. Skin incision to CPB time can be performed faster and provided good outcome compared to the axillary artery cannulation technique. Keywords: Acute aortic dissection, Ascending cannulation, Epiaortic ultrasound

Safety and utility of intravascular ultrasound-guided carotid artery stenting

2004 ◽  
Vol 63 (3) ◽  
pp. 355-362 ◽  
Author(s):  
David J. Clark ◽  
Sara Lessio ◽  
Margaret O'Donoghue ◽  
Robert Schainfeld ◽  
Kenneth Rosenfield
Keyword(s):  
Carotid Artery ◽  
Intravascular Ultrasound ◽  
Carotid Artery Stenting ◽  
Ultrasound Guided
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