The application of multipoint puncturing technique in performing endovascular therapy for complex lower extremity arterial occlusive diseases Department of Vascular Surgery, Xuanwu Hospital, Capital Medical University, Beijing 100053, China / 介入放射学杂志

ABSTRACT

Objective To discuss the methods, advantages and indications of multipoint puncturing in performing endovascular therapy for complex lower extremity arterial occlusive diseases. Methods During the period from Oct. 2011 to Oct. 2013, a total of 46 patients with complex lower extremity arterial occlusive diseases were treated with endovascular therapy by using multipoint puncturing technique. The puncturing type, the advantages of multipoint puncturing technique and the success rate of this technique were analyzed. Results The multipoint puncturing was divided into three types type Ⅰ puncturing from the opposite direction to deal with the same target vessel; type Ⅱ direct puncturing of the target vessel; and type Ⅲusing the same puncturing direction to deal with different target vessels. The success rate of endovascular treatment was 80.4%. Conclusion Multipoint puncturing technique helps improve endovascular treatment success rate for lower extremity arterial occlusive diseases. Full understanding of the advantages of multipoint puncturing technique, perfect preoperative planning, precise puncturing technique and proper interventional equipments are helpful to ensure a successful treatment.