Recanalization of chronic occlusions of the superficial femoral artery using the outback™ re‐entry catheter: A single centre experience

Abstract

Use of the Outback re-entry catheter system is a valuable option for interventional therapy of chronically occluded femoro-popliteal arteries following failed standard antegrade recanalization attempt.

Subintimal angioplasty with a true reentry device for treatment of chronic total occlusion of the arteries of the lower extremity

“…One study using the Pioneer catheter has shown a 95% success rate of reentry [13]. One recent study with the Outback catheter reported a success rate of 88%, with one perioperative death due to myocardial infarction related to delayed femoral bleeding, which was possibly due to extensive recanalization attempts [14]. This study included only femoropopliteal occlusions, whereas our study did include iliac and one infrapopliteal occlusion as well.…”

“…At our center, stents are used most of the time after PIER, especially if there is significant residual luminal narrowing (>30%) or flow-limiting dissection. In the study by Beschorner et al [14], subsequent stenting was performed in 96.5% of the patients treated with the Outback reentry device.…”

“…We did include some patients with iliac occlusion and one tibioperoneal artery occlusion, which is not an approved indication of use by FDA. Our study includes one of the larger databases reported with the use of the Outback reentry catheter, though a recent study reported 61 patients treated with the Outback [14]. We lacked data on follow-up for three patients; we were able to obtain clinical follow-up data based on symptom improvement on 94% of patients.…”

Sustained Benefit at 2 Years for Covered Stents Versus Bare-Metal Stents in Long SFA Lesions: The VIASTAR Trial

“…Keywords Peripheral arterial disease Á Femoropopliteal Á Stent Á Stentgraft Introduction Endovascular revascularization of long lesions of the superficial femoral artery (SFA) representing TASC II classes C and D is technically feasible in a large percentage of patients, with a technical success rate of [90 % [1,2]. However, the durability of percutaneous transluminal balloon angioplasty (PTA) for long SFA lesions remains poor [3,4].…”

Novel Approaches to the Management of Advanced Peripheral Artery Disease: Perspectives on Drug-Coated Balloons, Drug-Eluting Stents, and Bioresorbable Scaffolds

“…Using dedicated crossing and re-entry devices, the technical success rate for percutaneous transluminal angioplasty to recanalize the superficial femoral artery increased to more than 95 % [1,2]. However, recanalization procedures had been limited by restenosis rates of 40 to 80 % of the treated segments already after 12 months for plain old balloon angioplasty (POBA) [3,4] and even first-and second-generation nitinol stents resulted only in fair outcomes with one-year restenosis rates remaining in the range of 20 to 50 % depending on and increasing with lesion length [4][5][6].…”