Expanded treatment option of chronic total peripheral artery occlusion with the outback catheter




Background


Percutaneous recanalization of chronic iliac and superficial femoral artery occlusions is a technically challenging procedure. It is associated with a relevant technical failure rate of up to 25% depending on the lesion length and extent of calcification. Inability to reenter the true lumen after accidental or intentional subintimal passage of the occluded segment is the most frequent condition leading to unsuccessful termination of the intervention.




Methods


In this retrospective, single-center study, technical and clinical experience with subintimal recanalization of total chronic occlusions (CTO) of peripheral arteries using the Outback LDT Catheter (Cordis, Miami Lakes, FL, USA) is reported. A total of 122 patients (98 male, mean age 70±10 years) or 127 limbs (mean occlusion length 191±91 mm) with chronic iliac or femoropopliteal occlusions were recanalizied with the Outback catheter followed by angioplasty and stent implantation after reentry failure by standard techniques. Clinical baseline data, procedural success, clinical outcome, and patency after a median of 12 months (range 3–32 months) are reported.




Methods


In this retrospective, single-center study, technical and clinical experience with subintimal recanalization of total chronic occlusions (CTO) of peripheral arteries using the Outback LDT Catheter (Cordis, Miami Lakes, FL, USA) is reported. A total of 122 patients (98 male, mean age 70±10 years) or 127 limbs (mean occlusion length 191±91 mm) with chronic iliac or femoropopliteal occlusions were recanalizied with the Outback catheter followed by angioplasty and stent implantation after reentry failure by standard techniques. Clinical baseline data, procedural success, clinical outcome, and patency after a median of 12 months (range 3–32 months) are reported.

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Nov 16, 2017 | Posted by in CARDIOLOGY | Comments Off on Expanded treatment option of chronic total peripheral artery occlusion with the outback catheter

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