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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

Purpose: To present our technique of pre-arteriotomy guidewire access (PAGA). Summary: 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.

Original languageEnglish
Pages (from-to)97-100
Number of pages4
JournalEuropean Journal of Vascular and Endovascular Surgery
Volume32
Issue number1
DOIs
StatePublished - Jul 2006

Keywords

  • Combined interventions
  • Endovascular
  • Limb ischemia

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