Strategies for Successful Percutaneous Revascularization of Chronic Total Occlusion of the Femoropopliteal Arteries When the Antegrade Passage of a Guide Wire Fails
Korean Journal of Radiology
; : 467-475, 2012.
Article
in English
| WPRIM (Western Pacific)
| ID: wpr-72927
Responsible library:
WPRO
ABSTRACT
OBJECTIVE:
To evaluate the efficacy of various strategies for revascularization of chronic total occlusion of femoropopliteal arteries when the guide wire does not pass in an anterograde direction. MATERIALS ANDMETHODS:
Twenty-four patients with totally occluded femoropopliteal arteries (mean occlusion length 13.75 cm; range, 6-22 cm) were treated by using a retrograde approach and two novel catheters. After successful recanalization or reentry, balloon angioplasty followed by stent placement was performed to complete the revascularization.RESULTS:
In 16 cases in which to cross the occlusion via intraluminal or subintimal route was failed, we used Frontrunner catheters in five cases and Outback catheters in 11 cases. In eight cases in which to reenter after subintimal passage of the guide wire was failed, we used Outback catheters. Successful recanalization was achieved intraluminally or subintimally in all cases. One perforation occurred during subintimal passage of the guide wire that was controlled by recanalization of another subintimal tract. There were no cases of distal thromboembolism or other complications.CONCLUSION:
A retrograde approach and using the Frontrunner and Outback catheters are safe and effective for successful revascularization of chronic total occlusion of femoropopliteal arteries. In particular, they are useful when the initial antegrade attempts at recanalization have failed.
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Popliteal Artery
/
Arterial Occlusive Diseases
/
Catheterization, Peripheral
/
Angiography
/
Stents
/
Prospective Studies
/
Treatment Outcome
/
Angioplasty, Balloon
/
Femoral Artery
Type of study:
Observational study
Limits:
Aged
/
Aged, 80 and over
/
Female
/
Humans
/
Male
Language:
English
Journal:
Korean Journal of Radiology
Year:
2012
Document type:
Article