PMID- 28856423
OWN - NLM
STAT- MEDLINE
DCOM- 20180716
LR  - 20181202
IS  - 1432-086X (Electronic)
IS  - 0174-1551 (Linking)
VI  - 41
IP  - 2
DP  - 2018 Feb
TI  - Longitudinal Cracking with a Guidewire Tail for Extremely Calcified Lesions in 
      Infrainguinal Arteries: PICKING Technique.
PG  - 313-316
LID - 10.1007/s00270-017-1780-4 [doi]
AB  - PURPOSE: To report a percutaneous intravascular cracking with a guidewire tail 
      (PICKING) technique to longitudinally crack the underlying calcification and 
      facilitate the balloon catheter passage for the treatment of severely calcified 
      chronic occlusions in the infrainguinal artery. MATERIALS AND METHODS: Three 
      patients underwent PICKING technique between November 2014 and March 2017. The 
      PICKING technique with the stiff tail of 0.018-inch guidewire in the straight 
      configuration was considered in cases of failed passage of the smallest balloon 
      catheter because of the underlying severely calcified occlusion following passage 
      of 0.014-inch guidewire. RESULTS: All three patients were complicated by 
      end-stage renal disease on hemodialysis. Treated vessels were superficial femoral 
      artery in two cases and anterior tibial artery in one case. In all cases, 
      successful passage and dilatation of the balloon catheter were achieved, and 
      significant improvements in clinical symptoms were observed following subsequent 
      optimal balloon angioplasty or stenting. CONCLUSIONS: The PICKING technique could 
      increase the potential of endovascular solution for the treatment of severely 
      calcified chronic occlusions in the infrainguinal artery.
FAU - Kawarada, Osami
AU  - Kawarada O
AD  - Department of Cardiovascular Medicine, National Cerebral and Cardiovascular 
      Center, 5-7-1 Fujishiro-dai, Suita, Osaka, 565-8565, Japan. 
      kawarada.osami.hp@ncvc.go.jp.
FAU - Noguchi, Teruo
AU  - Noguchi T
AD  - Department of Cardiovascular Medicine, National Cerebral and Cardiovascular 
      Center, 5-7-1 Fujishiro-dai, Suita, Osaka, 565-8565, Japan.
FAU - Yasuda, Satoshi
AU  - Yasuda S
AD  - Department of Cardiovascular Medicine, National Cerebral and Cardiovascular 
      Center, 5-7-1 Fujishiro-dai, Suita, Osaka, 565-8565, Japan.
LA  - eng
PT  - Case Reports
PT  - Journal Article
DEP - 20170830
PL  - United States
TA  - Cardiovasc Intervent Radiol
JT  - Cardiovascular and interventional radiology
JID - 8003538
SB  - IM
MH  - Aged
MH  - Angiography
MH  - Angioplasty, Balloon/*instrumentation/*methods
MH  - Arterial Occlusive Diseases/diagnostic imaging/*therapy
MH  - Calcinosis/diagnostic imaging/*therapy
MH  - Humans
MH  - Inguinal Canal/*blood supply/diagnostic imaging
MH  - Male
MH  - Retrospective Studies
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Calcification
OT  - Crack
OT  - Longitudinal
EDAT- 2017/09/01 06:00
MHDA- 2018/07/17 06:00
CRDT- 2017/09/01 06:00
PHST- 2017/06/06 00:00 [received]
PHST- 2017/08/22 00:00 [accepted]
PHST- 2017/09/01 06:00 [pubmed]
PHST- 2018/07/17 06:00 [medline]
PHST- 2017/09/01 06:00 [entrez]
AID - 10.1007/s00270-017-1780-4 [pii]
AID - 10.1007/s00270-017-1780-4 [doi]
PST - ppublish
SO  - Cardiovasc Intervent Radiol. 2018 Feb;41(2):313-316. doi: 
      10.1007/s00270-017-1780-4. Epub 2017 Aug 30.