Case studies

1) Patient X., 51 years old

 

Diagnosis: Obliterating Atherosclerosis of lower extremity arteries. Leriche’s syndrome. The occlusion of the right iliac artery.
 

Conducted tests:

  • Physical and general clinical examination;

  • Ultrasonic examination of the arteries of lower extremities;

  • Aortography, angiography of the arteries of lower extremities;

  • CT- angiography.

1. Occlusion in external iliac artery

2. Waveguide treatment of the occlusion

3. Guide wire 0,014” passed

4. The channel is formed

5.  Balloon dilatation

6.  Final result after stenting

2) Patient A., 41 years old

 

Diagnosis: Obliterating atherosclerosis of lower limb arteries. Leriche’s Syndrome. Occlusion in right iliac artery, stenos of the left common iliac artery.
 

Conducted tests:

  • Physical and general clinical examination;

  • Ultrasonic examination of femoral arteries;

  • Aortography, angiography of femoral arteries;

  • Computer tomography – angiography.

1. Occlusion in right common iliac artery, critical stenos in left common iliac artery.

2. Complete restoration of the clearance.

3) Patient K., 58 years old

 

Diagnosis: Obliterating Atherosclerosis of lower extremity arteries. The occlusion of the superficial femoral artery on the right. The occlusion of the right iliac artery. The traumatic amputation of the left cnemis.
 

Conducted tests:

  • Physical and general clinical examination;

  • Ultrasonic examination of the arteries of lower extremities;

  • Aortography, angiography of the arteries of lower extremities;

  • CT- angiography.

1. Initial

2. Direct result

3. Long-term result (After 6 months)

4) Patient D., 57 years old
 

Diagnosis:Obliterating Atherosclerosis of lower extremity arteries. The occlusion of the right femoral artery.
 

Conducted tests:

  • Physical and general clinical examination;

  • Ultrasonic examination of the arteries of lower extremities;

  • CT-angiography of the arteries of lower extremities;

  • Magnetic resonance angiography of the arteries of lower extremities;

 

 

 

 

 

 

 

 

1. Initial

2. The introducer can't reach the occlusion

3. The ultrasound waveguide is in the clearance of the vessel

4. The ultrasound waveguide has passed the occlusion

5.  X-Ray angiogram after the ultrasound recanalization

6. The introducer has passed the occlusion

7. Stent implantation in the occlusion zone

8. Direct result

9. Long-term result (after 12 months)