Fig. 4

Case 2. A Pre-dilation was performed with a small balloon. The black arrow shows the balloon. B An antegrade guidewire was advanced to the superficial femoral artery. The black arrow shows the antegrade guidewire. C A 6.0 × 40-mm high pressure balloon was dilated with intravascular hemostasis of the retrograde puncture site. D Three Misago stents were deployed in the iliac artery, and post-dilation was performed. E A drug-coated balloon was dilated in the common femoral artery. The black arrow shows the drug-coated balloon. F IVUS findings after the guidewire crossing. G IVUS findings after the drug-coated balloon dilation. H, I The final angiography showed good expansion of the iliac to femoral artery, and sufficient antegrade flow