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

Aslam, Mohammad Shakil; Allaqaband, Suhail; Haddadian, Babak; Mori, Naoyo; Bajwa, Tanvir; Mewissen, Mark W.

doi:10.1002/ccd.22743

Cited by 28 publications

(36 citation statements)

References 14 publications

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“…Occurrence of perioperative complications associated with access site was 4.8% for perforation of the target vessel and 5.0% for hematoma and pseudoaneurysm. There was one reported case of a severe bleeding complication (fatal myocardial infarction associated with bleeding) [10, 11]. …”

Section: Discussionmentioning

confidence: 99%

Twelve months follow-up after retrograde recanalization of superficial femoral artery chronic total occlusion

Wojtasik-Bakalarz¹,

Arif²,

Chyrchel³

et al. 2017

pwki

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IntroductionFifty percent of cases of peripheral artery disease are caused by chronic total occlusion (CTO) of the superficial femoral artery (SFA). Ten–fifteen percent of percutaneous SFA recanalization procedures are unsuccessful. In those cases the retrograde technique can increase the success rate of the procedure, but the long-term follow-up of such procedures is still unknown.AimTo assess the efficacy and clinical outcomes during long-term follow-up after retrograde recanalization of the SFA.Material and methodsWe included patients after at least one unsuccessful percutaneous antegrade recanalization of the SFA. Patients were evaluated for the procedural and clinical follow-up of mean time 13.9 months.ResultsThe study included 17 patients (7 females, 10 males) who underwent percutaneous retrograde recanalization of the SFA from June 2011 to June 2015. The mean age of patients was 63 ±7 years. Retrograde puncture of the distal SFA was successful in all cases. A retrograde procedure was performed immediately after antegrade failure in 4 (23.5%) patients and after a previously failed attempt in 13 (76.5%) patients. The procedure was successful in 15 (88.2%) patients, and unsuccessful in 2 (11.8%) patients. Periprocedural complications included 1 peripheral distal embolization (successfully treated with aspiration thrombectomy), 1 bleeding event from the puncture site and 7 puncture site hematomas. During follow-up the all-cause mortality rate was 5.8% (1 patient, non-cardiac death). The primary patency rate at 12 months was 88.2% and secondary patency 100%.ConclusionsThe retrograde SFA puncture seems to be a safe and successful technique for CTO recanalization and is associated with a low rate of perioperative and long-term follow-up complications.

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Section: Discussionmentioning

confidence: 99%

Twelve months follow-up after retrograde recanalization of superficial femoral artery chronic total occlusion

Wojtasik-Bakalarz¹,

Arif²,

Chyrchel³

et al. 2017

pwki

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“…Hausegger and colleagues [17] first published their single-center study about the initial experience with the catheter system in 10 patients suffering from CTOs of the superficial femoral or popliteal arteries. Other single-center and small-sample studies [18][19][20][21][22][23][24][25] reported the result of using this device to recanalize the iliac artery and distal femoral artery CTOs. These reports have shown a very high technical success rate.…”

Section: The Outback Catheter (Cordis Corp Bridgewater Nj Usa)mentioning

confidence: 99%

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

Liang

Zhang

2013

International Journal of Cardiology

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“…Third, although the use of re-entry devices, such as the Outback catheter, is related to a high procedural success of 88% to 96% and a low complication rate, these devices increase procedural costs. 5,6 Since in the here described technique only standard materials are used, the technique is extremely inexpensive compared with the use of these re-entry devices.…”

Section: Discussionmentioning

confidence: 99%

The combined ipsilateral antegrade-retrograde approach to insert an endoluminal femoropopliteal bypass

Lensvelt

Zeebregts

Stoer-Bouwman

et al. 2011

Journal of Vascular Surgery

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The endoluminal femoropopliteal bypass is a minimally invasive treatment modality for occlusive superficial femoral artery disease. Technical failure of endovascular treatment of chronic total occlusions is often caused by the inability to re-enter the true lumen. Re-entry devices have a high technical success-rate, but increased procedural costs. We describe an alternative technique using an ipsilateral combined antegrade-retrograde approach to insert an endoluminal femoropopliteal bypass. In a supine position, with the leg elevated at 30 degrees, the popliteal artery is punctured and a 4F introducer sheath is introduced. The occlusion is crossed from distal to proximal and the wire is advanced through a 6F sheath that is positioned in the common femoral artery. The occlusion is predilated from proximal and the "re-entry" site is identified on an angiogram. The wire is then withdrawn into the balloon catheter and advanced intraluminally into one of the crural vessels. After confirming the intraluminal position of the wire, the 4F sheath is removed, and the endoluminal bypass is created in a standardized fashion. The ipsilateral antegrade-retrograde approach is a fast, inexpensive, and easy-to-learn technique, using standard materials only. The distal entry of the occlusion will lead to a minimization of the length of the endoluminal bypass, thereby possibly sparing collaterals and future surgical options.

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

Abstract: Use of Outback(®) LTD(®) Re-Entry Catheter is a safe and valuable option for PIER/subintimal angioplasty and recanalization in patients with symptomatic lower-extremity CTOs. However, long-term patency remains unknown.

Cited by 28 publications

References 14 publications

Twelve months follow-up after retrograde recanalization of superficial femoral artery chronic total occlusion

Twelve months follow-up after retrograde recanalization of superficial femoral artery chronic total occlusion

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

The combined ipsilateral antegrade-retrograde approach to insert an endoluminal femoropopliteal bypass

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