Recanalization of femoropopliteal chronic total occlusion susing the ENABLER-P balloon catheter system
J ENDOVASC THER
; 19: 131-139, 2012. ilus, tab
Article
in English
| Sec. Est. Saúde SP, SESSP-IDPCPROD, Sec. Est. Saúde SP
| ID: biblio-1063663
Responsible library:
BR79.1
Localization: BR79.1
ABSTRACT
Purpose:
To evaluate the safety and effectiveness of a new system to facilitate intraluminaladvancement of conventional guidewires through chronic total occlusions (CTO) of thesuperficial femoral artery (SFA) and popliteal artery.Methods:
The ENABLER-P Balloon Catheter System uses a unique balloon-anchoringmechanism and an automated balloon inflation device for steady, controlled advancementof a standard non-hydrophilic guidewire. The system was evaluated in 37 patients (22 men;mean age 67 years (range 4187) with femoropopliteal CTOs averaging 86 mm in length(range 10340). The device was used in a variety of occlusions, including heavily calcified,long, and fibrotic lesions. After successful guidewire recanalization facilitated by thesystem, occluded arterial segments were treated conventionally with balloon angioplasty,atherectomy, and stents as appropriate.Results:
The primary endpoint of successful crossing was achieved in 86% (32/37) of theoverall study population. The average activation time for successful crossing was5.3 minutes (range 0.422). Of the 32 cases successfully crossed with the ENABLER-PSystem, all but 1 was successfully recanalized. One (3%) device-related complicationoccurred when the wire was advanced into a side branch when treating a 300-mm-longflush ostial SFA occlusion; the resulting perforation was managed with a covered stentwithout further sequelae.Conclusion:
This novel system, which provides enhanced force to a standard guidewire tipfor controlled intraluminal advancement, is a promising device for the treatment ofperipheral CTOs.
Search on Google
Collection:
National databases
/
Brazil
Database:
Sec. Est. Saúde SP
/
SESSP-IDPCPROD
Main subject:
Popliteal Artery
/
Angioplasty, Balloon, Coronary
/
Femoral Artery
/
Peripheral Arterial Disease
Language:
English
Journal:
J ENDOVASC THER
Year:
2012
Document type:
Article
Institution/Affiliation country:
Dante Pazzanese/BR
/
Emek Medical Center/IL
/
Foundation for Cardiovascular Medicine/US
/
Herz-Zentrum/DE
/
Klinikum Rosenheim/DE