A CASE OF ARTERIOSCLEROSIS OBLITERANS WITH INTRACTABLE LOWER EXTREMITY ULCERS OF THE ROTABLATOR WAS USEFUL IN PERCUTANEOUS TRANSLUMINAL ANGIOPLASTY

概要

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A 54 year-old woman came to our hospital complaining of pain of the bilateral lower limbs and intractable bilateral lower extremity ulcers. Bilateral arteriosclerosis obliterans of Fontaine classification N degree was diagnosed. The right leg had a type C lesion; the left leg had a type D lesion in TASC (TransAtlantic Inter-Society Consensus for the Management of PAD) II. We chose percutaneous transluminal angioplasty for revascularization rather than surgical operation because of the risk of infection. The guide wire passed the complete occlusion lesion with high calcification of the left superficial femoral artery, but passage of a catheter for penetration was difficul. Therefore, we used a rotablator, a device for coronary arteries and succeeded in passage of the later balloon. When we treat peripheral arterial disease by percutaneous transluminal angioplasty, we sometimes encounter peripheral arterial disease in complicated lesions. Procedural success can be obtained by the application of a device for coronary artery.