Clinical Study

The Results of a New Distal Protection Method in Intervention for Chronic Total Occlusion of the Superficial Femoral Artery

Table 1

Criteria for distal protection methods. IVUS: intravascular ultrasound.

(i) Worsening symptoms and signs
(1) Newly onset ( < 6 months) of claudication
(2) Shortend walking distance
(3) Pain at rest
(4) Ulceration or gangrene of extremities

(ii) Angiographic features
(1) Contrast stain at the occlusion site
(2) Contrast defect due to thrombus

(iii) Mild resistance on the wire manipulation
Easy pass through the CTO lesion by a guidewire

(iv) IVUS findings
(1) Poorly echogenic plaque
(2) Mobile plaque
(3) Homogeneous plaque of mildly raised echogenicity
(4) Plaque with small blood flow channels