Outback Catheter for Femoropopliteal Occlusions: Immediate and Long-term Results

Abstract

The Outback catheter is a reliable tool to recanalize challenging chronic femoropopliteal occlusions after failed guidewire re-entry. Restenosis rates are high, which may be due to the severity and extent of disease in these patients, who are particularly challenging.

Novel devices and specialized techniques in recanalization of peripheral artery chronic total occlusions (CTOs) — A literature review

“…There were no further procedure-related complications. The largest series using the Outback system was reported by Bausback and colleagues [27]. 118 limbs of 115 consecutive patients with femoropopliteal CTOs using this re-entry device were enrolled.…”

Recanalization of Femoropopliteal Chronic Total Occlusions Using the ENABLER-P Balloon Catheter System

“…[4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22], with a mean overall procedure duration from ENABLER-P catheter anchoring to withdrawal of 14.7 minutes (range 1-44).…”

“…Also, this technique may require the adjunctive use of somewhat unpredictable reentry devices. [13][14][15] Loss of supporting collaterals, 4 increased radiation exposure, and the hazard of renal failure have all been described as potential complications associated with such complex percutaneous interventions. In addition, aggressive guidewire manipulation through highly resistant plaque risks vessel perforation, which accounts for a significant percentage of failures to recanalize such arteries.…”

Target Balloon-Assisted Antegrade and Retrograde Approach for Recanalization of Thrombosed Fem-Pop Bypass Graft Using the Outback Catheter

“…Failure to place the guidewire into the patent artery distal to the occlusion after intraluminal or subintimal passage, is the most frequent cause of unsuccessful recanalization (9). A reentry device such as the Outback catheter can mediate access to the true lumen and facilitate successful endovascular treatment of chronic total occlusions.…”