Ultra Long Inflation in SFA Stenosis and Occluded Lesions Using Guide Liner ("Ultra SOUL"): A Case Report.

Ultra Long Inflation in SFA Stenosis and Occluded Lesions Using Guide Liner ("Ultra SOUL"): A Case Report.

Ann Vasc Surg. 2018 Nov 26;:

Authors: Shirai S, Hirano K, Makino K, Honda Y, Tsutsumi M, Mori S, Sakamoto Y, Kobayashi N, Araki M, Yamawaki M, Ito Y

Abstract
Following an era of the use of several drug-coated balloons in angioplasty, "leave nothing behind" and stent-less strategies have been gaining attention. In stent-less strategies, it is necessary to avoid major dissections and limit flow. Balloon dilation is an important step in vessel preparation. In this study, we report a novel pre-dilation technique. We performed prolonged balloon inflation for >10 min after normal ballooning in a procedure to treat an occluded lesion in the superficial femoral artery (SFA). We used a guide extension catheter to avoid foot ischemia and obtained better angiographic results than those using short duration balloon inflation. We named this technique "Ultra Long Inflation in SFA Stenosis and Occluded Lesions using Guide Liner" or "Ultra SOUL." The Ultra SOUL technique may be considered a useful option in balloon dilation.

PMID: 30496901 [PubMed - as supplied by publisher]

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