Totally percutaneous deep foot venous arterialization using an IVUS-guided catheter PiPeR-technique

Pioneer Peschiera Revascularization

PiPeR-technique is an alternative and standardized approach to perform Deep Vein Arterialization, which utilizes the Pioneer Plus catheter (Philips Volcano) to create the arterial-venous fistula (AVF) in a totally percutaneous fashion which uses IVUS guidance to choose the best spot to create the AVF and to evaluate the right distance between artery and vein.


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