A 50-year-old woman was admitted with pain and discomfort in both her
legs. She has been experiencing pain while walking for last 2-3 months.
The pain was accompanied by chest discomfort and hypertension. Her
CT Angiography showed 4 critical blockages in different vascular
regions, all of which were at the ostium or origin of the vessels.
The patient's multiple problems were completely managed
endovascularly, and treated in 2 sessions with 4 stents. Bilateral access
via both femoral arteries was obtained and 7F sheaths were placed.
Herculink Elite 7X15mm stent was deployed in the left renal artery at
the ostium first. Then, continuing the same procedure, 2 extra stiff wires
were passed across the blockages in the iliac vessels and after dilating
the lesions with 5X40mm balloons, 2 stents, Luminexx (Bard) 10 X
40mm, in right, and Luminexx (Bard) 14 X 40mm in left, were
simultaneously deployed across the blocks in the iliac arteries, extending
into the aorta to reconstruct the aortic bifurcation and keep both vessels
open and flowing normally.
A day later, the critical lesion in the ostial RCA was stented using Xience
Prime (Abbott) 3.5X15mm drug eluting stent successfully. The patient
was able to travel back to her hometown, Kanpur the very next day after
Dr. Neeraj Bhalla
Director & Senior Consultant
BLK Heart Centre
BLK Super Speciality Hospital
“The blockages were all critical
and were causing discomfort
which could have led to
Hence, the patient’s multiple
problems had to be treated