Novel Use of the “Contra Catheter” (CC) In Proximal Iliac Artery Chronic Total Occlusion (PICTO) Recanalization

Abstract

Proximal Iliac Artery chronic total occlusion (PICTO) interventions via contralateral femoral approach are challenging due to the lack of catheter support. In patients with the appropriate anatomy, the Contra Catheter (CC) grasps the aortic bifurcation like a clip and can facilitate crossing of the occlusion. We describe three cases with PICTOs in which the CC was able to provide adequate support with a contralateral femoral approach and obviate the need for an arm approach.