The Journal of Japanese College of Angiology
Online ISSN : 1880-8840
Print ISSN : 0387-1126
ISSN-L : 0387-1126
Volume 58 , Issue 7
Showing 1-2 articles out of 2 articles from the selected issue
Review Article
  • Hiroki Niikura, Masato Nakamura
    2018 Volume 58 Issue 7 Pages 101-106
    Published: July 10, 2018
    Released: July 10, 2018
    JOURNALS FREE ACCESS

    In modern clinical practice, EVT for PAD is the first line treatment. However, SAF long CTO lesion of the TASC C/D remains the major limitation of EVT. It has not been proved the decisive superiority of stent strategy for those lesions. Therefore, we compared the results of two strategies Balloon angioplasty and Primary stent strategy for SFA long CTO lesions. 164 lesions in 156 patients (72 years, 72% of male, lesion length: 19.2±3.8 cm) were received EVT for long CTO lesion of SFA. We divided into two groups according to procedure strategies (Balloon angioplasty strategy:57 lesions, Primary stent strategy: 107 lesions). There was no difference in CD-TLR rate at 1-year between both strategies (Balloon angioplasty strategy 64.9% vs. Primary stent strategy 72%; p=0.13). Furthermore, regarding lesions with CLI and TASC D lesions, there were no difference in CD-TLR rate at 1-year between both strategies (72.0% vs. 56.8%; p=0.5, 64.3% vs. 72.3%; p=0.15) . This finding suggested that Leaving nothing behind strategy might be the appropriate strategy.

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Case Report
  • Yukihiro Nishimoto, Yosuke Tanaka, Keiji Ataka, Yuichi Shimohara, Tomo ...
    2018 Volume 58 Issue 7 Pages 107-111
    Published: July 10, 2018
    Released: July 10, 2018
    JOURNALS FREE ACCESS

    Coral reef aorta (CRA) is calcified stenosis localized in pararenal abdominal aorta. We report three endovascular therapy (EVT) cases for CRA. All three patients were admitted to our hospital with intermittent claudication. CT showed calcified stenosis around the inferior mesenteric artery in two cases, and the superior mesenteric artery in one. Luminexx® 14 mm deployments were successfully performed for these patients. EVT for CRA is low invasive and efficient as open surgery. Post-therapeutic follow-up is essential and prompt re-intervention if necessary should be performed to improve the long-term results.

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