Clinical Cases
The treatment strategy of left main bifurcation lesions has been a controversial topic in clinic. How to choose the optimal treatment strategy for emergency PCI? Does the choice among different devices help the surgeon more?
Vascular access is the lifeline for hemodialysis patients. Prolonging the service life of the access, guarding the “lifeline” of hemodialysis and ensuring the smooth flow of the “lifeline” are the top priority in maintaining the vascular access. The emergence of the scoring balloon brings the hope of improving patients’ dialysis access patency rate and reducing pain, and is expected to become a better choice for the treatment of arteriovenous fistula stenosis……
The common symptoms of severe lower limb calcification include coldness, numbness and intermittent claudication in the lower limbs. In severe cases, there may be persistent pain and weakening or disappearance of dorsal foot artery pulsation, and gangrene may occur when the artery is completely occlusive. Calcified lesions destroy the normal blood vessel wall, causing uneven pressure on the blood vessel wall, thinning of some walls, and changes in hemodynamics, which can easily lead to fixed stenosis, thrombus, aneurysm, and aortic dissection.
In the previous issue of case sharing, we presented a complex coronary intervention case, in which the Alveo HP Φ0.75 balloon, independently developed by BrosMed Medical, demonstrated excellent performance in crossing the lesion and dilation, showcasing exquisite craftsmanship of innovation.
For acute occlusion with calcification in right coronary artery (RCA), neither PCI microcatheter nor 1.2/1.0 mm balloons can cross the lesion in emergency treatment??? What other device can be considered by operator in elective operation?