Missing arteries?

✍ Scribed by Smith, Douglas C.

• Publisher: John Wiley and Sons
• Year: 1992
• Tongue: English
• Weight: 50 KB
• Volume: 27
• Category: Article
• ISSN: 0098-6569
• DOI: 10.1002/ccd.1810270417

✦ Synopsis

Letters to the Editor

Missing Arteries?

TO THE EDITOR What happened to the common femoral and external iliac arteries? In the article, "A technique to access severely diseased arteries," [ l ] the "severe lesion with outpouching formation" is erroneously identified as the "superficial femoral artery." The lesion is actually within the external iliac artery. (The arterial lesion is proximal to the sacroiliac joint, within the upper bony pelvis). The internal iliac artery is also misidentified as the "profunda femoris" artery.

The guidewire was not initially "advanced through the needle into the superficial femoral artery" (that is the wrong direction). The wire would have advanced from the common femoral artery into the external iliac artery. After negotiating the external iliac artery origin lesion, the common iliac artery would, of course, be encountered.

If roadmapping capability was available, crossing a tight, eccentric lesion would also be facilitated, without the need for the Touhy-Brost y-adapter setup.